Individual provider Active NPI

Rebecca Ledingham

  • Clinical Social Worker
  • Madison Heights, VA
National Provider Identifier
1619677432
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014999 Issued in VA
Practice address
157 Dillard Rd
Madison Heights, VA 24572-2507
Phone
(434) 660-0958
Fax
(434) 509-0643
NPI assigned
Mar 9, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 0904014999 VA Primary

Addresses

Primary practice location

157 Dillard Rd
Madison Heights, VA 24572-2507

Mailing address

157 Dillard Rd
Madison Heights, VA 24572-2507
Phone (434) 660-0958

Other practice location 1

1100 N Main St
Danville, VA 24540-4434
Phone (434) 660-0958

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
I20241116000291 VA Practitioner - Clinical Social Worker 9638603350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 Yorkshire St
Salem, VA 24153-7016
Phone (540) 378-4517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904014999VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wall Therapeutic Solutions, LLC CurrentSince Sep 14, 2024 Accepting new patients
Wall Connections, Inc. PastSince Feb 12, 2023 Accepting new patients

Locations

157 Dillard Rd
Madison Heights, VA 24572
Phone (434) 660-0958

405 Yorkshire St
Salem, VA 24153
Phone (540) 285-0523

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1619677432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 DILLARD RD",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245722507",
            "telephone_number": "434-660-0958",
            "fax_number": "434-509-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 DILLARD RD",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245722507",
            "telephone_number": "434-660-0958",
            "fax_number": "434-509-0643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Main St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245404434",
            "country_code": "US",
            "telephone_number": "434-660-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDINGHAM",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, VA

Sources for this page

Verify at the official NPI Registry.