Individual provider Active NPI

Susan Smith Helton, LCSW

  • Clinical Social Worker
  • Abingdon, VA
National Provider Identifier
1396824769
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904-000168 Issued in VA
Practice address
115 Hillside Dr NE
Abingdon, VA 24210-2013
Phone
(276) 628-1664
NPI assigned
Nov 4, 2006
Last updated
Jul 9, 2007By the provider in NPPES
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 0904-000168 VA Primary

Addresses

Primary practice location

115 Hillside Dr NE
Abingdon, VA 24210-2013

Mailing address

115 Hillside Dr NE
Abingdon, VA 24210-2013
Phone (276) 628-1664

Other identifiers 11

IdentifierTypeStateIssuer
005574OtherVAVALUE OPTIONS
024956OtherVAMANAGED HEALTH NETWORK
00010133645MedicaidVA
655110OtherVAAETNA
061982OtherVABC/BS ANTHEM
008943087MedicaidVA
254566000OtherVAMAGELLAN
54-173774503OtherVAHERITAGE NATIONAL HEALTH
54-173774503OtherVAJOHN DEERE/UBH
0-80348OtherVACHIR
800001416OtherVAUMWA HEALTH/RETIREMENT

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
I20120106000579 VA Practitioner - Clinical Social Worker 2264608579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abingdon Center Counseling Group IncGroup PAC ID 6406831825, 2 clinicians

Practice addresses (Care Compare)

350 Russell Rd NW
Abingdon, VA 24210-2761
Phone (276) 628-1664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904-000168VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wings of Warriors Counseling CurrentSince Jul 21, 2024 Accepting new patients
Abingdon Center Counseling Group, Inc. Clinical CurrentSince Jul 1, 1990 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396824769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HILLSIDE DR NE",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102013",
            "telephone_number": "276-628-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HILLSIDE DR NE",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102013",
            "telephone_number": "276-628-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTON",
        "first_name": "SUSAN",
        "middle_name": "SMITH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904-000168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "005574",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "024956",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00010133645",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "655110",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ANTHEM",
            "identifier": "061982",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008943087",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "254566000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HERITAGE NATIONAL HEALTH",
            "identifier": "54-173774503",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE/UBH",
            "identifier": "54-173774503",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIR",
            "identifier": "0-80348",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA HEALTH/RETIREMENT",
            "identifier": "800001416",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.