South Central Counseling Group

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006760 Issued in VA

Legal business name

SOUTH CENTRAL COUNSELING GROUP

Practice address

1046 Main Street
Dillwyn, VA 23936

Phone

(434) 808-0604

Fax

(434) 808-0716

NPI assigned

Jul 26, 2011

Last updated

Jul 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Staci L Vinson, LCSWNPI 1669659876

Title

Director

Phone

(804) 683-5306

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Staci Lynn Vinson, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1669659876
  Medicare reassignment NPD Authorized official
• Anne Hwang Blair, LCSW

  • Clinical Social Worker
  • Spotsylvania, VA
  • NPI 1396010054
  Medicare reassignment NPD
• Kenneth Adrian Deneault, LPC

  • Professional Counselor
  • Dillwyn, VA
  • NPI 1235600784
  NPD (past)
• Aimee Dumaresq, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1336913003
  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1619255601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 DEVON SPRING CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229037833",
            "telephone_number": "804-683-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 MAIN STREET",
            "city": "DILLWYN",
            "state": "VA",
            "postal_code": "23936",
            "telephone_number": "434-808-0604",
            "fax_number": "434-808-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-683-5306",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093004871",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Lee Ramsay, LPC
• Theresa Anne Rupp, MD
• Walter Edward Saxon Jr., DDS
• Joseph S. Seiler, DDS
• Kathleen B. Seiler, DDS
• Roger Spivey, RPH
• The Discovery School of Virginia, Inc.
• Troublesome Creek Medicine
• Walter E Saxon Jr DDS PC
• Cynthia Marie Watson, FNP-BC

• Clinical Social Worker in Dillwyn, VA
• Providers in Dillwyn, 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 Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.