Active NPI
Debra J. Burcham Hodges, LCSW
- Clinical Social Worker
- Galax, VA
National Provider Identifier
1649334871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904005821
- Practice address
- 788 E Stuart Dr Ste a
Galax, VA 24333-2313 - Phone
- (276) 237-5054
- NPI assigned
- Dec 21, 2006
- Last updated
- Jan 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904005821 | VA | Primary |
Addresses
Primary practice location
788 E Stuart Dr Ste a
Galax, VA 24333-2313
Mailing address
93 Fairway Oaks Dr
Galax, VA 24333-6278
Phone (276) 237-5054
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Virginia Commonwealth University, School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
93 Fairway Oaks Dr
Galax, VA 24333-6278
Phone (276) 237-5054
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debra Burchamhodges LCSW LLC | Clinical | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Galax, VA
- NPI 1982455911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1649334871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 FAIRWAY OAKS DR",
"city": "GALAX",
"state": "VA",
"postal_code": "243336278",
"telephone_number": "276-237-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "788 E STUART DR STE A",
"city": "GALAX",
"state": "VA",
"postal_code": "243332313",
"telephone_number": "276-237-5054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCHAM HODGES",
"first_name": "DEBRA",
"middle_name": "J.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904005821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galax, VA
- Bryan Lindberg (Marriage and Family Therapy Center)
- Angela Bryant
- Katherine Parks Bryant, RPH
- BT Heart and Vascular Center, PLLC (The Heart and Vascular Center)
- Buchanan Pharmacies, Inc (Galax Pharmacy)
- Catherine L Burcham, LCSW
- Jennifer Lee Burkett, LPC
- Melinda Dixon Burriss
- Amy E Butler, MD
- Madison Victoria Campbell, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.