Active NPI
Jane B Venable, LCSW, CSAC
- Clinical Social Worker
- Salem, VA
National Provider Identifier
1497714141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904005297
- Practice address
- 1720 Millbrook St
Salem, VA 24153-4210 - Phone
- (540) 815-4355
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0904005297 | VA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710000841 | VA | |
| Clinical Social Worker | 1041C0700X | C006755 | NC | |
| Clinical Social Worker | 1041C0700X | 0904005297 | VA | Primary |
Addresses
Primary practice location
1720 Millbrook St
Salem, VA 24153-4210
Mailing address
1720 Millbrook St
Salem, VA 24153-4210
Phone (540) 815-4355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945263 | Medicaid | VA | |
| 802183000 | Other | VI | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710000841 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| C006755 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1497714141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 MILLBROOK ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241534210",
"telephone_number": "540-815-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 MILLBROOK ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241534210",
"telephone_number": "540-815-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENABLE",
"first_name": "JANE",
"middle_name": "B",
"name_prefix": "Miss",
"credential": "LCSW, CSAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0904005297",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710000841",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006755",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904005297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945263",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "802183000",
"state": "VI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.