Patricia B. Conklin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000865 Issued in VA

Practice address

434 Mitchell Valley Dr
Marion, VA 24354-6338

Phone

(276) 783-7600

Fax

(276) 783-1802

NPI assigned

Jul 23, 2006

Last updated

Nov 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heatherwood Counseling Center IncGroup PAC ID 9133100605, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heatherwood Counseling Center, Inc.

  dba Heatherwood Counseling Center

  • Clinical Social Worker
  • Marion, VA
  • NPI 1780614594
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1265454169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 MITCHELL VALLEY DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546338",
            "telephone_number": "276-783-7600",
            "fax_number": "276-783-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MITCHELL VALLEY DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546338",
            "telephone_number": "276-783-7600",
            "fax_number": "276-783-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "PATRICIA",
        "middle_name": "B.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265454169",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008936081",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Clary, M.D.
• Clyburn Physician Services LLC
• Codex Psychological and Forensic Services
• Breanna Coley
• Commonwealth of Virginia State Board of Health (smyth county health department)
• Connections Counseling, PLLC
• Denisha Renee Cook, LCSW
• Noah Christian Cook, PA-C
• Shannon Renee Cook, NP-C
• Penelope Vernon Cooper, FNP-C DNP

• Clinical Social Worker in Marion, VA
• Providers in Marion, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.

Verify at the official NPI Registry.