Active NPI
Rudolph Flora, LCSW
- Clinical Social Worker
- Abingdon, VA
National Provider Identifier
1295758407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002186
- Practice address
- 460 W Main St
Abingdon, VA 24210-2608 - Phone
- (276) 628-5752
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904002186 | VA | Primary |
Addresses
Primary practice location
460 W Main St
Abingdon, VA 24210-2608
Mailing address
460 W Main St
Abingdon, VA 24210-2608
Phone (276) 628-5752
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116049 | Other | VA | VALUE OPTIONS |
| 238172 | Other | VA | ANTHEM BCBS VA-AB OFFICE |
| 5095412 | Other | VA | AETNA BEH HEALTH-ABING |
| 1295758407 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Recovery LLC | Clinical | Past | Accepting new patients |
| Mount Rogers Community Services | Past | Accepting new patients | |
| Flora Counseling Services Inc | Clinical | Past | Accepting new patients |
| Health Connect America, Inc | Past | Accepting new patients | |
| Health Connect America, Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Abingdon, VA
- NPI 1538257795
-
- Clinical Psychologist
- Lebanon, VA
- NPI 1669537130
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wytheville, VA
- NPI 1255365599
-
- Community/Behavioral Health Agency
- Franklin, TN
- NPI 1689394561
-
- Community/Behavioral Health Agency
- Franklin, TN
- NPI 1730366824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1295758407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 W MAIN ST",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102608",
"telephone_number": "276-628-5752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W MAIN ST",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102608",
"telephone_number": "276-628-5752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORA",
"first_name": "RUDOLPH",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904002186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "116049",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS VA-AB OFFICE",
"identifier": "238172",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEH HEALTH-ABING",
"identifier": "5095412",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295758407",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.