Active NPI
Von David Vallery, LCSW
- Clinical Social Worker
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4147
- Practice address
- Alexandria Counseling
233 Pecan Park Ave , Suite D
Alexandria, LA 71303 - Phone
- (318) 704-6157
- Fax
- (381) 704-6420
- NPI assigned
- Aug 19, 2006
- 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 | 4147 | LA | Primary |
Addresses
Primary practice location
Alexandria Counseling
233 Pecan Park Ave , Suite D
Alexandria, LA 71303
Mailing address
Alexandria Counseling
233 Pecan Park Ave , Suite D
Alexandria, LA 71303
Phone (318) 704-6157
Other practice location 1
382 highland dr
pineville, IA 71360
Phone (318) 442-3573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260330000418 | LA | Practitioner - Clinical Social Worker | 2163907064 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alexandria Counseling, LLC
Practice addresses (Care Compare)
3636 Government St
Alexandria, LA 71302-3317
Phone (318) 704-6157
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4147 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Counseling, LLC | Clinical | Current | Accepting new patients |
Locations
233 Pecan Park Ave
Ste D
Alexandria, LA 71303
Phone (318) 704-6157
3636 Government St
Alexandria, LA 71302
Phone (318) 704-6157
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": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1255445797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALEXANDRIA COUNSELING",
"address_2": "233 PECAN PARK AVE , SUITE D",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71303",
"telephone_number": "318-704-6157",
"fax_number": "381-704-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALEXANDRIA COUNSELING",
"address_2": "233 PECAN PARK AVE , SUITE D",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71303",
"telephone_number": "318-704-6157",
"fax_number": "381-704-6420"
}
],
"practiceLocations": [
{
"address_1": "382 highland dr",
"address_purpose": "LOCATION",
"city": "pineville",
"state": "IA",
"postal_code": "71360",
"country_code": "US",
"telephone_number": "318-442-3573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALLERY",
"first_name": "VON",
"middle_name": "DAVID",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2023-07-18",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "4147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.