Mary Jane Wooldridge, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904003463 Issued in VA

Practice address

700 Southridge Pkwy
Suite 301
Culpeper, VA 22701-3723

Phone

(540) 829-2393

NPI assigned

Feb 7, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• A Better Life Experience, Inc.

  • Clinical Social Worker
  • Culpeper, VA
  • NPI 1306912860
  NPD (past)
• 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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306986401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TURKEY RIDGE ROAD",
            "city": "BOSTON",
            "state": "VA",
            "postal_code": "227131802",
            "telephone_number": "540-829-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SOUTHRIDGE PKWY",
            "address_2": "SUITE 301",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013723",
            "telephone_number": "540-829-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904003463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008911339",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ostranda L. Williams, M.D.
• Tricia Alexander Wiltshire, PHARMD
• Henry Hunter Wolfe, ATC, LAT
• Seth Robertson Wood, AG-ACNP
• Cody Woodburn, MA, LPC
• Mary Sabrina Worthy, MPA, MSW
• Kelsey R Woycik, PA
• Muhammad Yasir, MD
• Prashanthi Yerram, M.D
• Jennifer Yi

• Mental Health Counselor in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.