Elmwood Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1864 Issued in VA

Legal business name

ELMWOOD COUNSELING SERVICES

Practice address

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

Phone

(276) 623-8230

Fax

(276) 525-1813

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Judy M Mink, LCSWNPI 1700889235

Title

President

Phone

(276) 623-8230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judy M Mink, LCSW

  • Clinical Social Worker
  • Abingdon, VA
  • NPI 1700889235
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1710068895",
    "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": {
        "organization_name": "ELMWOOD COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "MINK",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-623-8230",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wael Khaled El Minaoui, M.
• Asmahan Omar Elayan, BS
• Jessica Elliott, DO
• Ellis Home Health Supplies, Inc.
• Ellis Home Oxygen & Medical Equipment
• Koen W. Elswick, OD
• Trevor Chase Elswick, DO
• Roger E Emory, M.D.
• Empowerme Medical Group, PC
• Nicole Engelmann, DDS

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.