Individual provider Active NPI

Donald Devere Farr, LCSW,CSOTP

  • Clinical Social Worker
  • Hopewell, VA
National Provider Identifier
1598709743
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001471 Issued in VA
Practice address
211 N. 5TH Ave
Hopewell, VA 23860-2712
Phone
(804) 536-1543
Fax
(804) 796-9667
NPI assigned
Jun 16, 2006
Last updated
Oct 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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 0904001471 VA Primary

Addresses

Primary practice location

211 N. 5TH Ave
Hopewell, VA 23860-2712

Mailing address

13113 Bluemont Rd
Chester, VA 23831-4621
Phone (804) 796-7887

Other identifiers 1

IdentifierTypeStateIssuer
8921539MedicaidVA

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
I20130613000533 VA Practitioner - Clinical Social Worker 0042459588 Practice locations: Hopewell, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 N 5TH Ave
Hopewell, VA 23860-2509
Phone (804) 536-1543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904001471VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
District 19 Community Services Board PastSince Oct 5, 2012 Accepting new patients

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1598709743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13113 BLUEMONT RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314621",
            "telephone_number": "804-796-7887",
            "fax_number": "804-796-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N. 5TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602712",
            "telephone_number": "804-536-1543",
            "fax_number": "804-796-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "DONALD",
        "middle_name": "DEVERE",
        "name_prefix": "Mr.",
        "credential": "LCSW,CSOTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8921539",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

Verify at the official NPI Registry.