Charlotte Perdue, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011447 Issued in VA

Practice address

30 Technology Dr
Rocky Mount, VA 24151-3008

Phone

(540) 483-5044

Fax

(276) 632-0127

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.

• The Cascade Group Inc

  • Counselor
  • Blacksburg, VA
  • NPI 1043254717
  Medicare reassignment
• Piedmont Regional Community Services Board

  • Community/Behavioral Health Agency
  • Martinsville, VA
  • NPI 1699754010
  NPD
• Tandem Telehealth Medical Group PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Henrico, VA
  • NPI 1790465938
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1437799657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CLAY ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122810",
            "telephone_number": "276-632-7128",
            "fax_number": "276-632-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TECHNOLOGY DR",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241513008",
            "telephone_number": "540-483-5044",
            "fax_number": "276-632-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "CHARLOTTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Wellness LLC
• Jordan Curtis Patterson, MA, BCBA
• Douglas Glenn Payne, DC
• Brittany Pedigo
• Stephanie Pendleton, M.A.ED., LPC
• Marvin Eugene Perdue, DDS
• Sharon Johnstone Perkins, LCSW
• Vydia Permashwar, MD
• John D Pero, PT
• Eugene Francis Petrilla, DO

• Clinical Social Worker in Rocky Mount, VA
• Providers in Rocky Mount, 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 Oct 24, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.