NPIMap

Individual provider Active NPI

Helen Audra Chafin-Hobert

  • Clinical Social Worker
  • Lebanon, VA
National Provider Identifier
1003534975
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013878 Issued in VA
Practice address
344 Overlook Dr Ste 100
Lebanon, VA 24266-3436
Phone
(276) 883-8042
Fax
(276) 883-8044
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904013878 VA Primary

Addresses

Primary practice location

344 Overlook Dr Ste 100
Lebanon, VA 24266-3436

Mailing address

344 Overlook Dr Ste 100
Lebanon, VA 24266-3436
Phone (276) 883-8042

Other practice location 1

16431 Wise St
Saint Paul, VA 24283-3537
Phone (276) 762-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105000751 VA Practitioner - Clinical Social Worker 6103296330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain States Health AllianceGroup PAC ID 6002726718, 23 clinicians

Practice addresses (Care Compare)

16431 Wise St
Saint Paul, VA 24283-3537
Phone (276) 762-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904013878VAMDClinical Social Worker

Practice roles (2 of 7)

OrganizationSpecialtyStatusNew patients
Mountain States Health Alliance CurrentSince Oct 16, 2022 Accepting new patients
Mountain States Health Alliance CurrentSince Oct 16, 2022 Accepting new patients

Locations

344 Overlook Dr
Ste 100
Lebanon, VA 24266
Phone (276) 883-5939

16431 Wise St
Saint Paul, VA 24283
Phone (276) 762-2300

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
  • TN PPO
  • KY PPO C-SNP
  • TN PPO C-SNP
  • KY PPO

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1003534975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 OVERLOOK DR STE 100",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242663436",
            "telephone_number": "276-883-8042",
            "fax_number": "276-883-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 OVERLOOK DR STE 100",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242663436",
            "telephone_number": "276-883-8042",
            "fax_number": "276-883-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16431 Wise St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "VA",
            "postal_code": "242833537",
            "country_code": "US",
            "telephone_number": "276-762-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAFIN-HOBERT",
        "first_name": "HELEN",
        "middle_name": "AUDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

Verify at the official NPI Registry.