Individual provider Active NPI

Deirdre Ann West-Roy, MSW

  • Clinical Social Worker
  • St Thomas, VI
National Provider Identifier
1760780290
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0-37103-1B Issued in VI
Practice address
5316 Yacht Haven Grande Ste S-104
St Thomas, VI 00802-5027
Phone
(340) 715-6463
Fax
(340) 714-6499
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2017

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 113794 MA
Clinical Social Worker 1041C0700X 0-37103-1B VI Primary

Addresses

Primary practice location

5316 Yacht Haven Grande Ste S-104
St Thomas, VI 00802-5027

Mailing address

5316 Yacht Haven Grande Ste S-104
St Thomas, VI 00802-5027
Phone (340) 715-6463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113794MAMDClinical Social Worker
0-37103-1BVIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Wellness VI, PLLC Current Accepting new patients
Mind/Body Health & Psychology LLC PastSince Oct 27, 2021 Accepting new patients

Organizations & group practices 2

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1760780290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 YACHT HAVEN GRANDE STE S-104",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008025027",
            "telephone_number": "340-715-6463",
            "fax_number": "340-714-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 YACHT HAVEN GRANDE STE S-104",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008025027",
            "telephone_number": "340-715-6463",
            "fax_number": "340-714-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST-ROY",
        "first_name": "DEIRDRE",
        "middle_name": "ANN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113794",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VI",
            "license": "0-37103-1B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.