Loretta V Mountcastle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001174 Issued in VA

Practice address

11814 King William Rd
Aylett, VA 23009-4103

Phone

(804) 769-3022

Fax

(804) 769-1253

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1861691826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230090213",
            "telephone_number": "804-769-3022",
            "fax_number": "804-769-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11814 KING WILLIAM RD",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230094103",
            "telephone_number": "804-769-3022",
            "fax_number": "804-769-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTCASTLE",
        "first_name": "LORETTA",
        "middle_name": "V",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007639406",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colton Leland McGhee, ATC
• Latonia J McSwain, FNP-C
• William Mickens, QMHP
• Andrea L K Mitman
• Pamela Mundy Morrison, RN, MSN, FNP-BC
• Camila Alejandra Negron Garcia, DDS
• New Day Counseling Services
• Joynita R. Nicholson, D.O.
• Leah Shepardson Peyton, NP
• Sarah Henley Reed, FNP-C

• Clinical Social Worker in Aylett, VA
• Providers in Aylett, 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 May 9, 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.