Individual provider Active NPI

Preston Henry Page, LCSW, LSATP

  • Clinical Social Worker
  • Martinsville, VA
National Provider Identifier
1063544328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004829 Issued in VA
Practice address
900 F Starling Avenue
Pob 333
Martinsville, VA 24114
Phone
(276) 734-9870
Fax
(276) 666-2332
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0904004829 VA Primary

Addresses

Primary practice location

900 F Starling Avenue
Pob 333
Martinsville, VA 24114

Mailing address

900 F Starling Avenue
Pob 333
Martinsville, VA 24114
Phone (276) 734-9870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050728000543 VA Practitioner - Clinical Social Worker 3173551470 Reassigns benefits to 1 organization
Practice locations: Martinsville, VA
I20240223000107 NC Practitioner - Clinical Social Worker 3173551470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth Univ School of Dentistry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Margaret Bowen MD, PLLCGroup PAC ID 0547529620, 5 clinicians

Practice addresses (Care Compare)

1449 Fwy Dr
Suite F
Reidsville, NC 27320-7122
Phone (336) 280-0595

255 Riverside Dr
Bassett, VA 24055-4299
Phone (336) 280-0595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004829VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Bowen MD PLLC CurrentSince Mar 1, 2022 Accepting new patients
T Med Behavioral Inc Clinical Past Accepting new patients

Locations

1449 Freeway Dr
Ste F
Reidsville, NC 27320
Phone (336) 280-0595

255 Riverside Dr
Bassett, VA 24055
Phone (276) 296-0030

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, 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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063544328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 F STARLING AVENUE",
            "address_2": "POB 333",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "24114",
            "telephone_number": "276-734-9870",
            "fax_number": "276-666-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 F STARLING AVENUE",
            "address_2": "POB 333",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "24114",
            "telephone_number": "276-734-9870",
            "fax_number": "276-666-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "PRESTON",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "LCSW, LSATP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.