Active NPI
Kenneth W Farrar, LCSW
- Clinical Social Worker
- Lexington, VA
National Provider Identifier
1063419703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001504
- Practice address
- 241 Greenhouse Rd
Lexington, VA 24450-3717 - Phone
- (540) 463-3141
- Fax
- (540) 464-4051
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 0904001504 | VA | Primary |
Addresses
Primary practice location
241 Greenhouse Rd
Lexington, VA 24450-3717
Mailing address
241 Greenhouse Rd
Lexington, VA 24450-3717
Phone (540) 463-3141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904001504 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1063419703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 GREENHOUSE RD",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244503717",
"telephone_number": "540-463-3141",
"fax_number": "540-464-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 GREENHOUSE RD",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244503717",
"telephone_number": "540-463-3141",
"fax_number": "540-464-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRAR",
"first_name": "KENNETH",
"middle_name": "W",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.