Active NPI
Kids Inc.
- Clinical Social Worker
- Roanoke, VA
National Provider Identifier
1689860926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904003211
- Legal business name
- KIDS INC.
- Practice address
- 3063 Ordway Dr NW
Apt H
Roanoke, VA 24017-1977 - Phone
- (540) 362-1526
- NPI assigned
- Sep 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Charles McNeil, LCSW
- Title
- Therapist
- Phone
- (540) 362-1529
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904003211 | VA | Primary |
Addresses
Primary practice location
3063 Ordway Dr NW
Apt H
Roanoke, VA 24017-1977
Mailing address
3063 Ordway Dr NW
Apt H
Roanoke, VA 24017-1977
Phone (540) 362-1526
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190246400000",
"number": "1689860926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3063 ORDWAY DR NW",
"address_2": "APT H",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240171977",
"telephone_number": "540-362-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3063 ORDWAY DR NW",
"address_2": "APT H",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240171977",
"telephone_number": "540-362-1526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A",
"authorized_official_last_name": "MCNEIL",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "540-362-1529",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.