Organization Active NPI

Plumb Alley LCSW, Inc.

  • Clinical Social Worker
  • Abingdon, VA
National Provider Identifier
1407900079
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005571 Issued in VA
Legal business name
PLUMB ALLEY LCSW, INC.
Practice address
27207 Fudge Rd
Abingdon, VA 24210-9447
Phone
(276) 695-0245
Fax
(804) 412-2985
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Mrs. Molly Lynn Gallacher, LCSWNPI 1407868185
Title
President
Phone
(276) 695-0245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904005571 VA Primary

Addresses

Primary practice location

27207 Fudge Rd
Abingdon, VA 24210-9447

Mailing address

27207 Fudge Rd
Abingdon, VA 24210-9447
Phone (276) 695-0245

Other identifiers 2

IdentifierTypeStateIssuer
Q028248MedicaidTN
010217831MedicaidVA

National Provider Directory

National Provider Directory

Locations

335 E Main St
Abingdon, VA 24210
Phone (276) 608-2211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1407900079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27207 FUDGE RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109447",
            "telephone_number": "276-695-0245",
            "fax_number": "804-412-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27207 FUDGE RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109447",
            "telephone_number": "276-695-0245",
            "fax_number": "804-412-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUMB ALLEY LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "GALLACHER",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-695-0245",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028248",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010217831",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.