NPIMap

Organization Active NPI

Cradlespeed LLC

  • Clinical Social Worker
  • Blacksburg, VA
National Provider Identifier
1104380831
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CRADLESPEED LLC
Practice address
2075 Harding Rd
Blacksburg, VA 24060-9129
Phone
(757) 604-7540
NPI assigned
Jan 28, 2019
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Ms. Tamara A. Ghosh, M.S.S.W., L.C.S.W.NPI 1871646760
Title
Director/Manager
Phone
(757) 604-7540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2075 Harding Rd
Blacksburg, VA 24060-9129

Mailing address

2075 Harding Rd
Blacksburg, VA 24060-9129
Phone (757) 604-7540

Other names 1

  • Tamara A Ghosh LCSW Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190411001776 VA Part B Supplier - Clinic/Group Practice 6002157468 Receives reassigned benefits from 1 practitioner
Practice locations: Blacksburg, VA

National Provider Directory

National Provider Directory

Locations

159 Walters Dr
Christiansburg, VA 24073
Phone (540) 381-3101

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1104380831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 HARDING RD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240609129",
            "telephone_number": "757-604-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 HARDING RD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240609129",
            "telephone_number": "757-604-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRADLESPEED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "GHOSH",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "757-604-7540",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.S.W., L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tamara A Ghosh LCSW",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tamara A Ghosh LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.