Organization Active NPI

Kids Inc.

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1689860926
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003211 Issued in VA
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

Updated by the provider on Sep 20, 2007

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.