Active NPI
Jane Hundley, LCSW
- Clinical Social Worker
- Blacksburg, VA
National Provider Identifier
1013925213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904000704
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010052165 | Medicaid | VA | |
| 088514 | Other | SENTARA, SOUTHERN HEALTH | |
| 102089000 | Other | MAGELLAN | |
| 2123627 | Other | MAMSI, MDIPA | |
| 091293 | Other | VALUE OPTIONS | |
| 5419250036 | Other | UHC/UBH | |
| 4602401 | Other | AETNA | |
| 115112 | Other | VA | ANTHEM, 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cradlespeed LLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Blacksburg, VA
- NPI 1104380831
-
- Clinical Medical Laboratory
- Salem, VA
- NPI 1336221787
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.