Individual provider Active NPI

Rebecca Garst, LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1467030262
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010191 Issued in VA
Practice address
402 Campbell Ave SW
Roanoke, VA 24016-3627
Phone
(540) 400-7431
Fax
(540) 400-7091
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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 0904010191 VA Primary

Addresses

Primary practice location

402 Campbell Ave SW
Roanoke, VA 24016-3627

Mailing address

402 Campbell Ave SW
Roanoke, VA 24016-3627
Phone (540) 400-7431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20221129001078 DC Practitioner - Clinical Social Worker 1850769613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Insight Inc Clinical CurrentSince Oct 1, 2022 Accepting new patients
Roanoke Resource LLC CurrentSince Apr 6, 2021 Accepting new patients

Locations

10640 Page Ave
Ste 220
Fairfax, VA 22030
Phone (703) 310-7665

6800 Paragon Pl
Ste 200
Richmond, VA 23230
Phone (757) 768-6914

402 Campbell Ave SW
Roanoke, VA 24016
Phone (540) 400-7431

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1467030262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 CAMPBELL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163627",
            "telephone_number": "540-400-7431",
            "fax_number": "540-400-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 CAMPBELL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163627",
            "telephone_number": "540-400-7431",
            "fax_number": "540-400-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARST",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.