Individual provider Active NPI

Jeffrey Letchford, LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1538705413
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011384 Issued in VA
Practice address
4419 Pheasant Ridge Rd # Suie200
Roanoke, VA 24014-5282
Phone
(540) 355-6957
Fax
(540) 556-3320
NPI assigned
Nov 26, 2019
Last updated
Nov 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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 0904011384 VA Primary

Addresses

Primary practice location

4419 Pheasant Ridge Rd # Suie200
Roanoke, VA 24014-5282

Mailing address

4419 Pheasant Ridge Rd # Suie200
Roanoke, VA 24014-5282
Phone (540) 355-6957

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200219002269 VA Practitioner - Clinical Social Worker 1850728528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4419 Pheasant Ridge Rd
Suite 200
Roanoke, VA 24014-5267
Phone (540) 355-6957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904011384VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Achieving Balance Counseling LLC Clinical Current Accepting new patients
Achieving Balance Counseling LLC CurrentSince Dec 31, 2020 Accepting new patients

Locations

4419 Pheasant Ridge Rd
Ste 200
Roanoke, VA 24014
Phone (540) 315-5318

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1538705413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 PHEASANT RIDGE RD # SUIE200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145282",
            "telephone_number": "540-355-6957",
            "fax_number": "540-556-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 PHEASANT RIDGE RD # SUIE200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145282",
            "telephone_number": "540-355-6957",
            "fax_number": "540-556-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETCHFORD",
        "first_name": "JEFFREY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.