Child and Family Therapy Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009910 Issued in VA

Legal business name

CHILD AND FAMILY THERAPY ASSOCIATES

Practice address

5215 Starkey Rd
Roanoke, VA 24018-9359

Phone

(540) 293-9788

Fax

(540) 904-7731

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Angela Mitchell, LCSW

Title

Owner

Phone

(540) 293-9788

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1528584331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 BUCK RUN DR APT D",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240189042",
            "telephone_number": "540-293-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 STARKEY RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240189359",
            "telephone_number": "540-293-9788",
            "fax_number": "540-904-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-293-9788",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Bryan Cheslock, MD
• Sandra Aherwa Chesoni, M.D., PHD
• Unknown Chesta, MD
• Mark William Chewning, M.D
• Stephany Chewning, FNP-BC
• Child Health Investment Partnership
• Danielle Nicole Childers, PA-S
• David William Childress, CRNA
• Delphine Anita Childress, RN
• Shanteea Childress, RBT

• 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 Aug 15, 2017; 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.