Individual provider Active NPI

Martina Ngure, LCSW

  • Clinical Social Worker
  • Charleston, WV
National Provider Identifier
1659037026
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014150 Issued in VA
Practice address
1599 2ND Ave
Charleston, WV 25387-2514
Phone
(304) 344-0586
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X
Clinical Social Worker 1041C0700X 0904014150 VA Primary

Addresses

Primary practice location

1599 2ND Ave
Charleston, WV 25387-2514

Mailing address

PO Box 20112
Charleston, WV 25362-1112

Other practice location 1

700 University City Blvd
Blacksburg, VA 24060-2706
Phone (540) 961-8300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522001800 VA Practitioner - Clinical Social Worker 4183143183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New River Valley Community Services CurrentSince Mar 16, 2025 Accepting new patients
New River Valley Community Services CurrentSince Mar 16, 2025 Accepting new patients

Locations

700 University City Blvd
Blacksburg, VA 24060
Phone (540) 961-8300

705 Wenonah Ave
Pearisburg, VA 24134
Phone (540) 921-2238

Organizations & group practices 2

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1659037026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20112",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253621112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 2ND AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872514",
            "telephone_number": "304-344-0586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 University City Blvd",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240602706",
            "country_code": "US",
            "telephone_number": "540-961-8300",
            "fax_number": "540-322-1847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGURE",
        "first_name": "MARTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.