Organization Active NPI

Lillian H Ogle LCSW PC

  • Clinical Social Worker
  • Abingdon, VA
National Provider Identifier
1821181736
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001976 Issued in VA
Legal business name
LILLIAN H OGLE LCSW PC
Practice address
468 E. Main St., Suite 100 Johnson Center
Abingdon, VA 24210
Phone
(276) 628-2140
Fax
(276) 628-2140
NPI assigned
Oct 2, 2006
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Lillian H Ogle, LCSWNPI 1952304644
Title
President
Phone
(276) 429-2114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904001976 VA Primary

Addresses

Primary practice location

468 E. Main St., Suite 100 Johnson Center
Abingdon, VA 24210

Mailing address

PO Box 394
Glade Spring, VA 24340-0394
Phone (276) 429-2114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110119000929 VA Part B Supplier - Clinic/Group Practice 2961681226 Receives reassigned benefits from 1 practitioner
Practice locations: Abingdon, VA

National Provider Directory

National Provider Directory

Locations

468 E Main St
Ste 100
Abingdon, VA 24210
Phone (276) 628-2140

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1821181736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "GLADE SPRING",
            "state": "VA",
            "postal_code": "243400394",
            "telephone_number": "276-429-2114",
            "fax_number": "276-429-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 E. MAIN ST., SUITE 100 JOHNSON CENTER",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "24210",
            "telephone_number": "276-628-2140",
            "fax_number": "276-628-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN H OGLE LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "OGLE",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-429-2114",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.