Individual provider Active NPI

Laura McCormick, LCSW

  • Clinical Social Worker
  • Pearisburg, VA
National Provider Identifier
1285322875
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015194 Issued in VA
Practice address
219 Buchanan St
Pearisburg, VA 24134-1901
Phone
(540) 921-3502
NPI assigned
May 1, 2023
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 0904015194 VA Primary

Addresses

Primary practice location

219 Buchanan St
Pearisburg, VA 24134-1901

Mailing address

1005 Pendleton St
Radford, VA 24141-2826

Other practice location 1

1005 Pendleton St
Radford, VA 24141-2826
Phone (540) 613-9936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230728001840 VA Practitioner - Clinical Social Worker 2668833237 Reassigns benefits to 1 organization
I20240207003429 DC Practitioner - Clinical Social Worker 2668833237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Free Clinic of the New River Valley IncGroup PAC ID 5294963666, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

219 Buchanan St
Pearisburg, VA 24134-1901
Phone (540) 381-0820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904015194VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 9, 2024 Accepting new patients
Free Clinic of the New River Valley Inc CurrentSince May 10, 2023 Accepting new patients
Free Clinic of the New River Valley, Inc CurrentSince May 10, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

215 Roanoke St
Christiansburg, VA 24073
Phone (540) 381-0820

219 Buchanan St
Pearisburg, VA 24134
Phone (540) 381-0820

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1285322875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PENDLETON ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BUCHANAN ST",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241341901",
            "telephone_number": "540-921-3502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Pendleton St",
            "address_purpose": "LOCATION",
            "city": "Radford",
            "state": "VA",
            "postal_code": "241412826",
            "country_code": "US",
            "telephone_number": "540-613-9936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearisburg, VA

Sources for this page

Verify at the official NPI Registry.