Individual provider Active NPI

Diana Rader, LCSW

  • Clinical Social Worker
  • Richwood, WV
National Provider Identifier
1679983274
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016924 Issued in VA
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

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819001592 VA Practitioner - Clinical Social Worker 4082152202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00943470WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hopkins Medical Association LLC Clinical CurrentSince Aug 1, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.