Organization Active NPI

New River Valley Community Services

  • Clinical Social Worker
  • Pulaski, VA
National Provider Identifier
1639154578
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005646 Issued in VA
Legal business name
NEW RIVER VALLEY COMMUNITY SERVICES
Practice address
1006 E Main St
Pulaski, VA 24301-5218
Phone
(540) 994-5023
Fax
(540) 994-5028
NPI assigned
Dec 14, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sharon Wood, M.S.
Title
Director of Child and Family Servic
Phone
(540) 961-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904005646 VA Primary

Addresses

Primary practice location

1006 E Main St
Pulaski, VA 24301-5218

Mailing address

1006 E Main St
Pulaski, VA 24301-5218
Phone (540) 994-5023

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639154578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 E MAIN ST",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015218",
            "telephone_number": "540-994-5023",
            "fax_number": "540-994-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 E MAIN ST",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015218",
            "telephone_number": "540-994-5023",
            "fax_number": "540-994-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER VALLEY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIRECTOR OF CHILD AND FAMILY SERVIC",
        "authorized_official_telephone_number": "540-961-8300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.