Active NPI
Vance Family Services
- Social Worker
- Slab Fork, WV
National Provider Identifier
1073219622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- VANCE FAMILY SERVICES
- Practice address
- 114 Hurlock LN
Slab Fork, WV 25920-9523 - Phone
- (304) 946-5017
- NPI assigned
- Feb 6, 2023
- Last updated
- Feb 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keri Maynard, LSW
- Title
- Director
- Phone
- (304) 946-5017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
114 Hurlock LN
Slab Fork, WV 25920-9523
Mailing address
PO Box 423
Amherstdale, WV 25607-0423
Phone (304) 946-5017
Other names 1
- VFS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675641600000",
"number": "1073219622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 423",
"city": "AMHERSTDALE",
"state": "WV",
"postal_code": "256070423",
"telephone_number": "304-946-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 HURLOCK LN",
"city": "SLAB FORK",
"state": "WV",
"postal_code": "259209523",
"telephone_number": "304-946-5017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANCE FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A",
"authorized_official_last_name": "MAYNARD",
"authorized_official_first_name": "KERI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "304-946-5017",
"authorized_official_credential": "LSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VFS",
"code": "5",
"type": "Other Name"
}
]
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.