Individual provider Active NPI

Teresa Lanahan, LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1285607457
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005235 Issued in VA
Practice address
1026 1St St SW
Roanoke, VA 24016-4402
Phone
(540) 344-4600
Fax
(540) 344-0793
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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 0904005235 VA Primary

Addresses

Primary practice location

1026 1St St SW
Roanoke, VA 24016-4402

Mailing address

1315 2ND St SW
Ste 201
Roanoke, VA 24016-4944
Phone (540) 344-4600

Other identifiers 1

IdentifierTypeStateIssuer
VA008951195MedicaidVA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040930000591 VA Practitioner - Clinical Social Worker 9335118868 Practice locations: Roanoke, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1005 1St St SW
Roanoke, VA 24016-4401
Phone (540) 344-5940

1315 2ND St SW
Suite 201
Roanoke, VA 24016-4935
Phone (540) 344-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon M Brammer Mapc Past Accepting new patients
Abundant Life Family Counseling Past Accepting new patients
Inner Wisdom Yoga and Psychotherapy, PLLC PastSince Jul 1, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1285607457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 2ND ST SW",
            "address_2": "STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164944",
            "telephone_number": "540-344-4600",
            "fax_number": "540-344-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 1ST ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164402",
            "telephone_number": "540-344-4600",
            "fax_number": "540-344-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANAHAN",
        "first_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA008951195",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.