Christopher Robert Buchanan, LCSW

Individual provider Active NPI Clinical Social Worker · Cedar Bluff, VA

NPI 1851669477 · NPPES record last updated Dec 9, 2011

Key facts

NPI
1851669477
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0904007628 (VA)
Practice address
113 Cumberland Road
Cedar Bluff, VA 24609-9453
Phone
(276) 964-6702
Fax
(276) 964-0292
NPI assigned
Dec 9, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120516000732 VA Practitioner - Clinical Social Worker 0941463681 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Mountain Community Services Current
since Aug 16, 2011
Accepting new patients

Locations

196 Cumberland Rd
Cedar Bluff, VA 24609

578 Main St
Tazewell, VA 24651
Phone (276) 988-0081

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007628 VA Yes

Addresses

Primary practice location

113 Cumberland Road
Cedar Bluff, VA 24609-9453

Mailing address

196 Cumberland Road
P.O. Box 810
Cedar Bluff, VA 24609-9453
Phone (276) 964-6702

Other providers in Cedar Bluff, VA

All providers in Cedar Bluff, VA · Clinical Social Worker in Virginia

Sources for this page

Verify at the official NPI Registry.