Wellmind Living

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WELLMIND LIVING

Practice address

180 W Main St Ste 6
Wytheville, VA 24382-2304

Phone

(276) 200-4521

Fax

(540) 380-0123

NPI assigned

Jan 13, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Tara Brewster Lineberry, LCSWNPI 1619506367

Title

Owner/Therapist

Phone

(276) 200-5421

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tara Brewster Lineberry, LCSW

  • Clinical Social Worker
  • Wytheville, VA
  • NPI 1619506367
  NPD Authorized official

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1710692793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W MAIN ST STE 6",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822304",
            "telephone_number": "276-200-4521",
            "fax_number": "540-380-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W MAIN ST STE 6",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822304",
            "telephone_number": "276-200-4521",
            "fax_number": "540-380-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMIND LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "LINEBERRY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "BREWSTER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "276-200-5421",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Dawn Walters Totten, LCSW
• Watauga Recovery Center Wytheville
• Nicholas Weatherton, PHARM.D.
• Scott Weddle
• Kristina Weisiger
• Kimberly Wells, PMHNP-BC
• Pamela Beaver Wells, DNP, FNP-BC
• Jasmine Cressel White, LPC
• Aubrey L Whitlow Jr., LICENSED PHYSICAL TH
• Dixie Whitt

• Clinical Social Worker in Wytheville, VA
• Providers in Wytheville, 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 Nov 13, 2024; 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.