Individual provider Active NPI

Rudolph Flora, LCSW

  • Clinical Social Worker
  • Abingdon, VA
National Provider Identifier
1295758407
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002186 Issued in VA
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

Updated by the provider on Mar 26, 2015

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 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

IdentifierTypeStateIssuer
116049OtherVAVALUE OPTIONS
238172OtherVAANTHEM BCBS VA-AB OFFICE
5095412OtherVAAETNA BEH HEALTH-ABING
1295758407MedicaidVA

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

OrganizationSpecialtyStatusNew patients
Life Recovery LLC Clinical Past Accepting new patients
Mount Rogers Community Services PastSince Jan 1, 1992 Accepting new patients
Flora Counseling Services Inc Clinical PastSince Mar 7, 2006 Accepting new patients
Health Connect America, Inc PastSince Sep 1, 2019 Accepting new patients
Health Connect America, Inc PastSince Sep 4, 2022 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.

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.

Verify at the official NPI Registry.