Jennifer Damon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904014545 Issued in VA

Practice address

707 5TH St NE
Roanoke, VA 24016-2123

Phone

(540) 966-5808

Fax

(540) 595-9456

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mainstream Mental Health Services

  • Community/Behavioral Health Agency
  • Roanoke, VA
  • NPI 1700150166
  NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1518675081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 TERRACE RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152916",
            "telephone_number": "315-427-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 5TH ST NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240162123",
            "telephone_number": "540-966-5808",
            "fax_number": "540-595-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMON",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Leaman Dalton, MS, CCC-SLP
• Kali Denise Dalton
• Sarah Stuckey Dalton
• Kimberly Daly, CRNA
• Daphne Elizabeth Damen, CPNP
• Gregory Dams, PHD
• Minh-Chau T. Dang, M.D.
• Nicole Danh, NP-C
• Charles Douglas Daniel, M.D.
• Amanda B Daniels, OT

• Clinical Social Worker in Roanoke, VA
• Providers in Roanoke, 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 Nov 14, 2022; 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.