Individual provider Active NPI

Denise Marie Reaves, LCSW, CAADC

  • Clinical Social Worker
  • Winchester, VA
National Provider Identifier
1619476074
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09040097000 Issued in VA
Practice address
423 W Cork St
Winchester, VA 22601-3812
Phone
(540) 535-1111
Fax
(540) 450-1205
NPI assigned
Feb 12, 2018
Last updated
Feb 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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 09040097000 VA Primary

Addresses

Primary practice location

423 W Cork St
Winchester, VA 22601-3812

Mailing address

1109 Carrie Way
Martinsburg, WV 25401-2413
Phone (304) 886-9720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09040097000VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridging the Gaps Past Accepting new patients
Bridging the Gaps Past 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": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1619476074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 CARRIE WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012413",
            "telephone_number": "304-886-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W CORK ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013812",
            "telephone_number": "540-535-1111",
            "fax_number": "540-450-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "09040097000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.