Individual provider Active NPI

Jane Hundley, LCSW

  • Clinical Social Worker
  • Blacksburg, VA
National Provider Identifier
1013925213
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000704 Issued in VA
Practice address
1309 Harvest Ridge LN
Blacksburg, VA 24060-5068
Phone
(540) 529-6882
Fax
(540) 926-3705
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 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 0904000704 VA Primary

Addresses

Primary practice location

1309 Harvest Ridge LN
Blacksburg, VA 24060-5068

Mailing address

1309 Harvest Ridge LN
Blacksburg, VA 24060-5068
Phone (540) 529-6882

Other practice location 1

400 E Burwell St
Salem, VA 24153-4338
Phone (540) 387-3105

Other identifiers 8

IdentifierTypeStateIssuer
010052165MedicaidVA
088514OtherSENTARA, SOUTHERN HEALTH
102089000OtherMAGELLAN
2123627OtherMAMSI, MDIPA
091293OtherVALUE OPTIONS
5419250036OtherUHC/UBH
4602401OtherAETNA
115112OtherVAANTHEM, ANTHEM HEALTHKEEP

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
I20040524000538 VA Practitioner - Clinical Social Worker 1850382227 Practice locations: Blackburg, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Wisconsin School of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1309 Harvest Ridge LN
Blackburg, VA 24060-5068
Phone (540) 529-6882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cradlespeed LLC Clinical PastSince Feb 4, 2019 Accepting new patients
Lewis Gale Physicians LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1013925213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 HARVEST RIDGE LN",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240605068",
            "telephone_number": "540-529-6882",
            "fax_number": "540-962-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 HARVEST RIDGE LN",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240605068",
            "telephone_number": "540-529-6882",
            "fax_number": "540-926-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Burwell St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241534338",
            "country_code": "US",
            "telephone_number": "540-387-3105",
            "fax_number": "540-387-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNDLEY",
        "first_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010052165",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA, SOUTHERN HEALTH",
            "identifier": "088514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "102089000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI, MDIPA",
            "identifier": "2123627",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "091293",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC/UBH",
            "identifier": "5419250036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4602401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, ANTHEM HEALTHKEEP",
            "identifier": "115112",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.