Blue Ridge Alternatives, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005070 Issued in VA

Legal business name

BLUE RIDGE ALTERNATIVES, LLC

Practice address

695 E Main St
Wytheville, VA 24382-2034

Phone

(276) 228-8300

NPI assigned

Feb 17, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Mary Frances Henslee, LCSWNPI 1265513014

Title

Owner/Manager

Phone

(276) 228-8300

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Mary Frances Henslee, LCSW

  • Clinical Social Worker
  • Wytheville, VA
  • NPI 1265513014
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1760704852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CHURCH ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822621",
            "telephone_number": "276-228-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 E MAIN ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822034",
            "telephone_number": "276-228-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE ALTERNATIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "HENSLEE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "276-228-8300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7471563",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "102148",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Virginia, Inc. (Bma Wythe)
• Birdmont Health Care, LLC (Carrington Place @ Wytheville)
• Sherry Blackburn, LPC
• Bland Ministry Center and Dental Clinic
• Amy Reed Blevins, LNP
• Blue Ridge Chiropractic Clinic P.C.
• Teresa Ann Boswell, MA CCC SLP
• Jessica L. Bralley, PHARM D.,RPH
• Hayley Lawrence Brennan, DO
• Richard D Brenner, M.D.

• 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 Feb 6, 2012; 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.