Individual provider Active NPI

Debbie C. Smith, LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1376566000
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001248 Issued in VA
Practice address
3433 Brambleton Ave
Suite 109-B
Roanoke, VA 24018-6515
Phone
(540) 989-9537
Fax
(540) 989-3498
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 0904001248 VA Primary

Addresses

Primary practice location

3433 Brambleton Ave
Suite 109-B
Roanoke, VA 24018-6515

Mailing address

3433 Brambleton Ave
Suite 109-B
Roanoke, VA 24018-6515
Phone (540) 989-9537

Other identifiers 4

IdentifierTypeStateIssuer
019335OtherVAVALUE OPTIONS
4594702OtherVAAETNA
66676OtherVACIGNA BEHAVIORAL HEALTH
096014OtherVAANTHEM

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
I20090225000602 VA Practitioner - Clinical Social Worker 2769548809 Practice locations: Roanoke, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3234 Brambleton Ave
Roanoke, VA 24018-3729
Phone (540) 613-4332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904001248VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376566000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 BRAMBLETON AVE",
            "address_2": "SUITE 109-B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186515",
            "telephone_number": "540-989-9537",
            "fax_number": "540-989-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 BRAMBLETON AVE",
            "address_2": "SUITE 109-B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186515",
            "telephone_number": "540-989-9537",
            "fax_number": "540-989-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBBIE",
        "middle_name": "C.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "019335",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4594702",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "66676",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "096014",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.