Active NPI
Mary Elizabeth Van Huss, LCSW
- Clinical Social Worker
- Boone, NC
National Provider Identifier
1245646173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7408
- Practice address
- 132 Poplar Grove Connector
Boone, NC 28607-5915 - Phone
- (423) 264-0341
- NPI assigned
- Jul 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P008683 | NC | |
| Clinical Social Worker | 1041C0700X | C011253 | NC | |
| Clinical Social Worker | 1041C0700X | 7408 | TN | Primary |
Addresses
Primary practice location
132 Poplar Grove Connector
Boone, NC 28607-5915
Mailing address
PO Box 373
Mountain Home, TN 37684-0373
Phone (423) 295-2428
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
| License | State | Type | Specialty |
|---|---|---|---|
| C011253 | NC | MD | Clinical Social Worker |
| P008683 | NC | MD | Clinical Social Worker |
| 7408 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1245646173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 373",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840373",
"telephone_number": "423-295-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 POPLAR GROVE CONNECTOR",
"city": "BOONE",
"state": "NC",
"postal_code": "286075915",
"telephone_number": "423-264-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HUSS",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-11",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008683",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011253",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "7408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
- Urgent Care of Boone, PC
- Urgent Cares of America North Carolina Inc
- Olivia Michal Vallecillo, MA, LCMHC-A
- Lionel Van Der Westhuizen, M.D.
- Jennifer P Van Gilder, MA, CCC, SLP
- Whitney B Van Sant, LICENSED PSYCHOLOGIC
- Hayden Scott Vandenberg, DMD
- Scott L Vandiver, MD
- Vannoy Counseling Services, PLLC
- Michael James Vannoy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.