Individual provider Active NPI

James Carrigan, L.C.S.W.

  • Clinical Social Worker
  • Beaverdam, VA
National Provider Identifier
1073853214
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006127 Issued in VA
Practice address
16162 Pug Swamp LN
Beaverdam, VA 23015-2005
Phone
(804) 317-5995
NPI assigned
Feb 25, 2013
Last updated
Feb 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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 0904006127 VA Primary

Addresses

Primary practice location

16162 Pug Swamp LN
Beaverdam, VA 23015-2005

Mailing address

16162 Pug Swamp LN
Beaverdam, VA 23015-2005
Phone (804) 317-5995

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

LicenseStateTypeSpecialty
0904006127VAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1073853214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16162 PUG SWAMP LN",
            "city": "BEAVERDAM",
            "state": "VA",
            "postal_code": "230152005",
            "telephone_number": "804-317-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16162 PUG SWAMP LN",
            "city": "BEAVERDAM",
            "state": "VA",
            "postal_code": "230152005",
            "telephone_number": "804-317-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIGAN",
        "first_name": "JAMES",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverdam, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.