Mary Hunter Sudduth, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006847 Issued in VA

Practice address

622 Main St
Warsaw, VA 22572-4280

Phone

(804) 472-3706

Fax

(866) 639-3167

NPI assigned

Feb 20, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellness Place, LLC

  • Clinical Social Worker
  • Warsaw, VA
  • NPI 1851628911
  Medicare reassignment NPD Authorized official
• Chapman Senior Care, Inc.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1669439691
  NPD (past)

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1295975902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 MAIN ST",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "225724280",
            "telephone_number": "804-472-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 MAIN ST",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "225724280",
            "telephone_number": "804-472-3706",
            "fax_number": "866-639-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDUTH",
        "first_name": "MARY",
        "middle_name": "HUNTER",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600669-942",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Self Directed Caring Professionals
• Ronnie Nelson Sidney II, LCSW
• Mathieu W Sisk, D.O
• Elizabeth Sluder
• Janna Kay Stallings, RN
• The Long Advocacy Group
• Viola Maria Thompson
• Maiyah Truong, PHARMD
• Levernia Veney
• Walgreen Co

• Clinical Social Worker in Warsaw, VA
• Providers in Warsaw, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.