Individual provider Active NPI

Debra S Farmer, LCSW

  • Clinical Social Worker
  • Marion, VA
National Provider Identifier
1720351224
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007819 Issued in VA
Practice address
434 Mitchell Valley Dr
Marion, VA 24354-6338
Phone
(276) 783-7600
Fax
(276) 783-1802
NPI assigned
Feb 14, 2012
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007819 VA Primary

Addresses

Primary practice location

434 Mitchell Valley Dr
Marion, VA 24354-6338

Mailing address

434 Mitchell Valley Dr
Marion, VA 24354-6338
Phone (276) 783-7600

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
I20120314000006 VA Practitioner - Clinical Social Worker 5496914228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heatherwood Counseling Center IncGroup PAC ID 9133100605, 11 clinicians

Practice addresses (Care Compare)

434 Mitchell Valley Dr
Marion, VA 24354-6338
Phone (276) 783-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007819VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heatherwood Counseling Center, Inc. Clinical CurrentSince Jul 23, 2018 Accepting new patients
Flora Counseling Services Inc Clinical Past Accepting new patients
Health Connect America, Inc PastSince Sep 4, 2022 Accepting new patients

Locations

434 Mitchell Valley Dr
Marion, VA 24354
Phone (276) 783-7600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1720351224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 MITCHELL VALLEY DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546338",
            "telephone_number": "276-783-7600",
            "fax_number": "276-783-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MITCHELL VALLEY DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546338",
            "telephone_number": "276-783-7600",
            "fax_number": "276-783-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "DEBRA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.