Judy M Mink, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001864 Issued in VA

Practice address

966 W Main St
Brooksfield SQ Ste 7
Abingdon, VA 24210-2483

Phone

(276) 623-8230

Fax

(276) 525-1813

NPI assigned

May 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elmwood Counseling Services

  • Clinical Social Worker
  • Abingdon, VA
  • NPI 1710068895
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1700889235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 W MAIN ST",
            "address_2": "BROOKSFIELD SQ STE 7",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102483",
            "telephone_number": "276-623-8230",
            "fax_number": "276-525-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 W MAIN ST",
            "address_2": "BROOKSFIELD SQ STE 7",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102483",
            "telephone_number": "276-623-8230",
            "fax_number": "276-525-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINK",
        "first_name": "JUDY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-30",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8906831",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "324288",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lura S Miller, D.O.
• Quiana Miller, LCSW
• Mills Medical Practices, LLC
• Hannah Millsaps
• Miranda Joy Mingle, LCSW
• Meggon Noel Mink, PT, DPT
• Mission Dental Virginia, Inc
• Beshir Mohamed
• Samim Mohammadi, DDS
• Daniel J Moncier, MS, OTR

• Clinical Social Worker in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.