Individual provider Active NPI

Michelle Camardi, MSW, LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1003639097
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013444 Issued in VA
Practice address
5673 Airport Rd NW
Roanoke, VA 24012-1119
Phone
(540) 523-8099
NPI assigned
Nov 6, 2024
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 0904013444 VA Primary

Addresses

Primary practice location

5673 Airport Rd NW
Roanoke, VA 24012-1119

Mailing address

637 Day Ave SW Unit B
Roanoke, VA 24016-3817
Phone (540) 588-5084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415002770 VA Practitioner - Clinical Social Worker 7113442815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904013444VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Iyh I LLC Clinical CurrentSince Jan 30, 2025 Accepting new patients
Intercept Youth Services, Inc Past Accepting new patients

Locations

624 Happy Acres Rd
Chesapeake, VA 23323
Phone (757) 296-0900

11961 Iron Bridge Rd
Chester, VA 23831
Phone (804) 425-8001

10187 Brook Rd
Glen Allen, VA 23059
Phone (540) 523-8080

5673 Airport Rd NW
Roanoke, VA 24012
Phone (540) 523-8055

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1003639097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 DAY AVE SW UNIT B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163817",
            "telephone_number": "540-588-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 AIRPORT RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121119",
            "telephone_number": "540-523-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARDI",
        "first_name": "MICHELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.