Active NPI
Eleanor Elizabeth Wright, LCSW
- Clinical Social Worker
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090400458
- Practice address
- 1310 3Rd St SW Ste 2
Roanoke, VA 24016-5219 - Phone
- (540) 815-7886
- Fax
- (833) 944-2522
- NPI assigned
- Oct 3, 2006
- Last updated
- Feb 16, 2021
- 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 | 090400458 | VA | Primary |
Addresses
Primary practice location
1310 3Rd St SW Ste 2
Roanoke, VA 24016-5219
Mailing address
1970 Roanoke Boulevard
Salem, VA 24153
Phone (540) 982-2463
Other practice location 1
1970 Roanoke Blvd
Salem, VA 24153-6404
Phone (540) 982-2463 ext. 3782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008954101 | Medicaid | VA |
Other names 1
- E. Elizabeth Holt Wright
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 |
|---|---|---|---|---|
| I20040609001420 | VA | Practitioner - Clinical Social Worker | 7214910363 | Practice locations: Waynesboro, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
149 Cheshire Lane
Waynesboro, VA 22980-1826
149 Cheshire LN
Waynesboro, VA 22980-1826
Phone (540) 815-7886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090400458 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avery E Kerr Dmin LPC LLC | Past | Accepting new patients | |
| Lifeforce Counseling and Consulting, LLC | Past | Accepting new patients | |
| Onstead Counseling Services LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Avery Kerr DMin LPC LLC
- Mental Health Counselor
- Roanoke, VA
- NPI 1366265357
-
- Community/Behavioral Health Agency
- Roanoke, VA
- NPI 1437621950
-
- Clinical Social Worker
- Danville, VA
- NPI 1588231419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1053405613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 ROANOKE BOULEVARD",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-982-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 3RD ST SW STE 2",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240165219",
"telephone_number": "540-815-7886",
"fax_number": "833-944-2522"
}
],
"practiceLocations": [
{
"address_1": "1970 Roanoke Blvd",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "VA",
"postal_code": "241536404",
"country_code": "US",
"telephone_number": "540-982-2463 x3782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "ELEANOR",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "090400458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008954101",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "E. ELIZABETH",
"last_name": "WRIGHT",
"middle_name": "HOLT",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.