Individual provider Active NPI

Eleanor Elizabeth Wright, LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1053405613
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090400458 Issued in VA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 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

IdentifierTypeStateIssuer
008954101MedicaidVA

Other names 1

  • E. Elizabeth Holt Wright Other name

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
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

LicenseStateTypeSpecialty
090400458VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Avery E Kerr Dmin LPC LLC PastSince Nov 10, 2024 Accepting new patients
Lifeforce Counseling and Consulting, LLC PastSince Jun 24, 2019 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.

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

Verify at the official NPI Registry.