Individual provider Active NPI

Von David Vallery, LCSW

  • Clinical Social Worker
  • Alexandria, LA
National Provider Identifier
1255445797
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4147 Issued in LA
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

Updated by the provider on Jul 18, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 5 clinicians

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

LicenseStateTypeSpecialty
4147LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Counseling, LLC Clinical CurrentSince Mar 19, 2026 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

Verify at the official NPI Registry.