Individual provider Active NPI

Cynthia M Starnes, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1639490717
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007350 Issued in VA
Practice address
302 Hickman Rd
Suite 102
Charlottesville, VA 22911-3572
Phone
(434) 327-6262
Fax
(434) 202-7672
NPI assigned
Jun 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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 0904007350 VA Primary

Addresses

Primary practice location

302 Hickman Rd
Suite 102
Charlottesville, VA 22911-3572

Mailing address

PO Box 453
Charlottesville, VA 22902-0453
Phone (434) 327-6262

Other identifiers 1

IdentifierTypeStateIssuer
11978207OtherVACAQH

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
0904007350VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327708800000",
    "number": "1639490717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229020453",
            "telephone_number": "434-327-6262",
            "fax_number": "434-202-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HICKMAN RD",
            "address_2": "SUITE 102",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113572",
            "telephone_number": "434-327-6262",
            "fax_number": "434-202-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARNES",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-12",
        "last_updated": "2012-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11978207",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; 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.