Active NPI
Ellis M. Karr, LCSW
- Clinical Social Worker
- Lynchburg, VA
National Provider Identifier
1215938972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001513
- Practice address
- 693 Leesville Rd
Lynchburg, VA 24502-2828 - Phone
- (434) 947-5700
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904001513 | VA | Primary |
Addresses
Primary practice location
693 Leesville Rd
Lynchburg, VA 24502-2828
Mailing address
1204 Fenwick Dr
Lynchburg, VA 24502-2112
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1215938972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 FENWICK DR",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245022112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "693 LEESVILLE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245022828",
"telephone_number": "434-947-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARR",
"first_name": "ELLIS",
"middle_name": "M.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.