Organization Active NPI

Found Marbles

  • Clinical Social Worker
  • Copper Hill, VA
National Provider Identifier
1881462265
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FOUND MARBLES
Practice address
10 Doe Valley Dr
Copper Hill, VA 24079-1103
Phone
(804) 677-1674
NPI assigned
Dec 15, 2023
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Rosana Lopez Haugh, LCSWNPI 1306593819
Title
Behavioral Health Provider
Phone
(804) 677-1674

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 NU Primary

Addresses

Primary practice location

10 Doe Valley Dr
Copper Hill, VA 24079-1103

Mailing address

10 Doe Valley Dr
Copper Hill, VA 24079-1103
Phone (804) 677-1674

Other identifiers 1

IdentifierTypeStateIssuer
30017438240003MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419002617 VA Part B Supplier - Clinic/Group Practice 7012356256 Receives reassigned benefits from 1 practitioner
Practice locations: Copper Hill, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1881462265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DOE VALLEY DR",
            "city": "COPPER HILL",
            "state": "VA",
            "postal_code": "240791103",
            "telephone_number": "804-677-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOE VALLEY DR",
            "city": "COPPER HILL",
            "state": "VA",
            "postal_code": "240791103",
            "telephone_number": "804-677-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUND MARBLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "HAUGH",
        "authorized_official_first_name": "ROSANA",
        "authorized_official_middle_name": "LOPEZ",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "804-677-1674",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017438240003",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Copper Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.