Individual provider Active NPI

Valery Blythe Byrd, LICSW

  • Clinical Social Worker
  • Centralia, WA
National Provider Identifier
1619458346
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61371716 Issued in WA
Practice address
1133 Kresky Ave Ste 107
Centralia, WA 98531-3765
Phone
(360) 399-2003
Fax
(360) 219-1562
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 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 LW61371716 WA Primary

Addresses

Primary practice location

1133 Kresky Ave Ste 107
Centralia, WA 98531-3765

Mailing address

1610 Eshom Rd
Centralia, WA 98531-1682
Phone (360) 520-2693

Other practice location 1

1616 S Gold St
Centralia, WA 98531-8930
Phone (360) 261-6930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240625003185 WA Practitioner - Clinical Social Worker 4587107073 Practice locations: Centralia, WA

Care Compare profile

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

Practice addresses (Care Compare)

1133 Kresky Ave
Suite 107
Centralia, WA 98531-3765
Phone (360) 520-2693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Words LLC CurrentSince Jan 14, 2024 Accepting new patients
Community Integrated Health Services, LLC PastSince Jun 1, 2023 Accepting new patients

Locations

1133 Kresky Ave
Ste 107
Centralia, WA 98531
Phone (360) 399-2003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1619458346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ESHOM RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311682",
            "telephone_number": "360-520-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 KRESKY AVE STE 107",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313765",
            "telephone_number": "360-399-2003",
            "fax_number": "360-219-1562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 S Gold St",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985318930",
            "country_code": "US",
            "telephone_number": "360-261-6930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "VALERY",
        "middle_name": "BLYTHE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61371716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.