Individual provider Active NPI

Nancy Christine Love I, LCSW

  • Clinical Social Worker
  • Ruther Glen, VA
National Provider Identifier
1710293477
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004559 Issued in VA
Practice address
19254 Rogers Clark Blvd
Ruther Glen, VA 22546
Phone
(804) 633-9997
NPI assigned
Aug 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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
Clinical Social Worker 1041C0700X 0904004559 VA Primary

Addresses

Primary practice location

19254 Rogers Clark Blvd
Ruther Glen, VA 22546

Mailing address

600 Jackson St
Fredericksburg, VA 22401-5719
Phone (540) 373-3223

Other practice location 1

1363 James Madison Hwy
Palmyra, VA 22963
Phone (434) 589-8276

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
I20040612000523 VA Practitioner - Clinical Social Worker 4688657232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rappahannock Area Community Services BoardGroup PAC ID 8123016318, 39 clinicians

Practice addresses (Care Compare)

19254 Rogers Clark Blvd
Ruther Glen, VA 22546-4010
Phone (804) 633-9997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004559VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rappahannock Area Community Services Board CurrentSince Aug 27, 2018 Accepting new patients

Locations

600 Jackson St
Fredericksburg, VA 22401
Phone (540) 373-3223

19254 Rogers Clark Blvd
Ruther Glen, VA 22546
Phone (804) 633-9997

Organizations & group practices 1

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": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1710293477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JACKSON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015719",
            "telephone_number": "540-373-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19254 ROGERS CLARK BLVD",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "22546",
            "telephone_number": "804-633-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1363 James Madison Hwy",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "VA",
            "postal_code": "22963",
            "country_code": "US",
            "telephone_number": "434-589-8276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "NANCY",
        "middle_name": "CHRISTINE",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruther Glen, VA

Sources for this page

Verify at the official NPI Registry.