Active NPI
Diana Rader, LCSW
- Clinical Social Worker
- Richwood, WV
National Provider Identifier
1679983274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904016924
- Practice address
- 45 Oakford Ave
Richwood, WV 26261-1137 - Phone
- (304) 880-6794
- NPI assigned
- May 5, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BP00943470 | WV | |
| Clinical Social Worker | 1041C0700X | 0904016924 | VA | Primary |
Addresses
Primary practice location
45 Oakford Ave
Richwood, WV 26261-1137
Mailing address
15 E Walnut St
Richwood, WV 26261-1109
Phone (304) 880-6794
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP00943470 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopkins Medical Association LLC | Clinical | Current | Accepting new patients |
| Wynn Medical Center | Past | Accepting new patients | |
| Savida Health, PC | Past | Accepting new patients |
Locations
3359 Linden Dr
Bristol, VA 24202
Phone (276) 494-0230
1014 Park Ave NW
Norton, VA 24273
Phone (276) 679-0800
177 Dollar Dr
Ste A
Pennington Gap, VA 24277
Phone (276) 318-0414
460 Front St
Richlands, VA 24641
Phone (304) 967-5919
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
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-
- Health Service Clinic/Center
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- NPI 1457056566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1679983274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E WALNUT ST",
"city": "RICHWOOD",
"state": "WV",
"postal_code": "262611109",
"telephone_number": "304-880-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 OAKFORD AVE",
"city": "RICHWOOD",
"state": "WV",
"postal_code": "262611137",
"telephone_number": "304-880-6794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADER",
"first_name": "DIANA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "BP00943470",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904016924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richwood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.