Individual provider Active NPI

Eilidh Cruickshanks, MSW

  • School Social Worker
  • Petersburg, VA
National Provider Identifier
1205654241
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
PPS-0608862 Issued in VA
Practice address
255 E South Blvd
Petersburg, VA 23805-2700
Phone
(804) 732-0510
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X PPS-0608862 VA Primary

Addresses

Primary practice location

255 E South Blvd
Petersburg, VA 23805-2700

Mailing address

255 E South Blvd
Petersburg, VA 23805-2700
Phone (804) 732-0510

Other practice location 1

255 E South Blvd
Petersburg, VA 23805-2700
Phone (804) 732-0510 ext. 1011

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
PPS-0608862VAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Petersburg Public Schools PastSince Oct 6, 2024 Accepting new patients

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1205654241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E SOUTH BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052700",
            "telephone_number": "804-732-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E SOUTH BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052700",
            "telephone_number": "804-732-0510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E South Blvd",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238052700",
            "country_code": "US",
            "telephone_number": "804-732-0510 x1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUICKSHANKS",
        "first_name": "EILIDH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "PPS-0608862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.