Individual provider Active NPI

Mary Mowbray Flanary, LCSW

  • Clinical Social Worker
  • Christiansburg, VA
National Provider Identifier
1144597717
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007794 Issued in VA
Practice address
80 College St Ste H
Christiansburg, VA 24073-2985
Phone
(540) 381-1848
Fax
(540) 381-5372
NPI assigned
Nov 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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 0904007794 VA Primary

Addresses

Primary practice location

80 College St Ste H
Christiansburg, VA 24073-2985

Mailing address

35 Brilliant Dr
Christiansburg, VA 24073-5879
Phone (540) 577-1044

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
I20160216000397 VA Practitioner - Clinical Social Worker 6608170493 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007794VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Behavioral Healthcare CurrentSince Dec 1, 2021 Accepting new patients

Locations

301 Elm Ave SW
Roanoke, VA 24016
Phone (540) 266-9200

611 McDowell Ave NW
Roanoke, VA 24016
Phone (540) 266-9200

Organizations & group practices 2

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": "1322179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322179200000",
    "number": "1144597717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BRILLIANT DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240735879",
            "telephone_number": "540-577-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 COLLEGE ST STE H",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732985",
            "telephone_number": "540-381-1848",
            "fax_number": "540-381-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANARY",
        "first_name": "MARY",
        "middle_name": "MOWBRAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-25",
        "last_updated": "2011-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.