Organization Active NPI

Sandra Tolliver LCSW Consulting & Counselling

  • Clinical Social Worker
  • Martinsville, VA
National Provider Identifier
1144592668
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000858 Issued in VA
Legal business name
SANDRA TOLLIVER LCSW CONSULTING & COUNSELLING
Practice address
1079 Spruce St
Suite a
Martinsville, VA 24112-4527
Phone
(276) 732-9588
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Sandra Tolliver
Title
Ceo
Phone
(276) 732-9588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904000858 VA Primary

Addresses

Primary practice location

1079 Spruce St
Suite a
Martinsville, VA 24112-4527

Mailing address

140 Jeb Stuart Rd
Martinsville, VA 24112-0683

National Provider Directory

National Provider Directory

Locations

1079 Spruce St
Ste A
Martinsville, VA 24112
Phone (276) 632-3572

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1144592668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 JEB STUART RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241120683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 SPRUCE ST",
            "address_2": "SUITE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241124527",
            "telephone_number": "276-732-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA TOLLIVER LCSW CONSULTING & COUNSELLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "TOLLIVER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-732-9588"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.