Individual provider Active NPI

Lora Leanne Dudley, LCSW

  • Clinical Social Worker
  • Lynchburg, VA
National Provider Identifier
1629649975
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013053 Issued in VA
Practice address
2097 Langhorne Rd
Lynchburg, VA 24501-1443
Phone
(434) 200-3204
Fax
(434) 200-7468
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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 0904013053 VA Primary

Addresses

Primary practice location

2097 Langhorne Rd
Lynchburg, VA 24501-1443

Mailing address

203 Jefferson Woods Dr
Forest, VA 24551-2005
Phone (434) 610-2677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210921001479 VA Practitioner - Clinical Social Worker 4981001740 Reassigns benefits to 1 organization
I20260430003870 MA Practitioner - Clinical Social Worker 4981001740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1 Emerson PL
Suite 3H
Boston, MA 02114-2252
Phone (855) 284-7483

1000 Jefferson St
Suite 2C
Lynchburg, VA 24504-1724
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Sep 14, 2021 Accepting new patients

Locations

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

1030 Loftis Blvd
Ste 102
Newport News, VA 23606
Phone (978) 998-5022

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

5372 Discovery Park Blvd
Ste 204
Williamsburg, VA 23188

Organizations & group practices 1

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1629649975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 JEFFERSON WOODS DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512005",
            "telephone_number": "434-610-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011443",
            "telephone_number": "434-200-3204",
            "fax_number": "434-200-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "LORA",
        "middle_name": "LEANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.