Martha E McCoy LCSW

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0904007133 Issued in VA

Legal business name

MARTHA E MCCOY LCSW

Practice address

509 Park St
Charlottesville, VA 22902-4739

Phone

(434) 218-0703

Fax

(434) 293-2310

NPI assigned

May 4, 2015

Organization subpart

No

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

Authorized official

Name

Martha E McCoy, LCSWNPI 1154558146

Title

Owner

Phone

(434) 218-0703

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha E McCoy, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1154558146
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1265819874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PARK ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024739",
            "telephone_number": "434-218-0703",
            "fax_number": "434-293-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 PARK ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024739",
            "telephone_number": "434-218-0703",
            "fax_number": "434-293-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA E MCCOY LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-218-0703",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0904007133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C. Marshall, M.D.
• Ken K Marshall, PHARM D
• Linda Ervin Marshall
• Michelle E Marshall, AG-ACNP
• Paul M Marshall, PHD, ANP
• Martha Jefferson Hospital
• Martha Jefferson Hospital
• Martha Jefferson Hospital
• Martha Jefferson Hospital
• Martha Jefferson Hospital

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.