Individual provider Active NPI

Penelope Ann Critzer, MSW,L.C.S.W

  • Clinical Social Worker
  • Staunton, VA
National Provider Identifier
1295833663
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002737 Issued in VA
Practice address
40 Lambert St
Suite 222
Staunton, VA 24401-2446
Phone
(540) 886-3956
Fax
(540) 886-3975
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 0904002737 VA Primary

Addresses

Primary practice location

40 Lambert St
Suite 222
Staunton, VA 24401-2446

Mailing address

40 Lambert St
Suite 222
Staunton, VA 24401-2446
Phone (540) 886-3956

Other identifiers 2

IdentifierTypeStateIssuer
061806OtherVAANTHEM
085191OtherVASENTARA/SOUTHERN HEALTH

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
I20160727000909 VA Practitioner - Clinical Social Worker 0244523322 Practice locations: Staunton, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Lambert St
Suite 222
Staunton, VA 24401-2446
Phone (540) 886-3956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chincoteague Main Street LLC Current Accepting new patients

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295833663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LAMBERT ST",
            "address_2": "SUITE 222",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012446",
            "telephone_number": "540-886-3956",
            "fax_number": "540-886-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LAMBERT ST",
            "address_2": "SUITE 222",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012446",
            "telephone_number": "540-886-3956",
            "fax_number": "540-886-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITZER",
        "first_name": "PENELOPE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW,L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "061806",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA/SOUTHERN HEALTH",
            "identifier": "085191",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.