Donna Callis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008168 Issued in VA

Practice address

1113 Cedar Valley Dr
Cedar Bluff, VA 24609

Phone

(276) 963-0111

Fax

(276) 963-0005

NPI assigned

Sep 16, 2015

Last updated

Sep 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• NP Partners L.L.C.

  • Family Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1124569488
  NPD (past)

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1629447941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246090426",
            "telephone_number": "276-963-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 CEDAR VALLEY DR",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "24609",
            "telephone_number": "276-963-0111",
            "fax_number": "276-963-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21451 Sugar Hollow Drive",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "24202",
            "country_code": "US",
            "telephone_number": "276-645-5867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21451 Sugar Hollow Drive",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "24202",
            "country_code": "US",
            "telephone_number": "276-645-5867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLIS",
        "first_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leean Brooks, RD
• Christy Laraine Brown
• Cory Tyler Brown, FNP
• Kimberly Denise Bryant, LCSW
• Christopher Robert Buchanan, LCSW
• Cynthia Carty
• Crystal Chafin
• Bell A Charles, FNP-C
• Claypool Hill Physical Therapy
• Heath Clevinger, FNP

• Clinical Social Worker in Cedar Bluff, VA
• Providers in Cedar Bluff, 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 Sep 17, 2019; 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.