Individual provider Active NPI

Martha Elaine Hage, LCSW

  • Clinical Social Worker
  • Danville, VA
National Provider Identifier
1093366908
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015853 Issued in VA
Practice address
245 Hairston St
Danville, VA 24540-4137
Phone
(434) 799-0456
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005947 GA
Clinical Social Worker 1041C0700X 0904015853 VA Primary

Addresses

Primary practice location

245 Hairston St
Danville, VA 24540-4137

Mailing address

2380 Old Spring Rd SE
Smyrna, GA 30080-1319
Phone (770) 653-8548

Other practice location 1

2000 S Park Pl SE
Atlanta, GA 30339-2013
Phone (770) 653-8548

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
I20240311004063 VA Practitioner - Clinical Social Worker 2163857970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Danville Pittsylvania Community ServicesGroup PAC ID 6608760046, 8 clinicians

Practice addresses (Care Compare)

245 Hairston St
Danville, VA 24540-4137
Phone (434) 799-0456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Danville-Pittsylvania Community Services CurrentSince Nov 18, 2023 Accepting new patients

Locations

245 Hairston St
Danville, VA 24540
Phone (434) 799-0456

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1093366908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 OLD SPRING RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801319",
            "telephone_number": "770-653-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 HAIRSTON ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404137",
            "telephone_number": "434-799-0456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Park Pl SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303392013",
            "country_code": "US",
            "telephone_number": "770-653-8548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGE",
        "first_name": "MARTHA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005947",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.