Active NPI
Lawson Koeppel LLC
- Clinical Social Worker
- Roanoke, VA
National Provider Identifier
1952137481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LAWSON KOEPPEL LLC
- Practice address
- 1701 Grandin Rd SW
Roanoke, VA 24015-2815 - Phone
- (540) 524-2114
- NPI assigned
- Sep 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawson Koeppel
- Title
- Owner
- Phone
- (540) 524-2114
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1701 Grandin Rd SW
Roanoke, VA 24015-2815
Mailing address
622 Allison Ave SW Apt 3
Roanoke, VA 24016-4549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241127001386 | VA | Part B Supplier - Clinic/Group Practice | 0648705699 |
Receives reassigned benefits from 1 practitioner Practice locations: Roanoke, VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Roanoke, VA
- NPI 1396968699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726012800000",
"number": "1952137481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 ALLISON AVE SW APT 3",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 GRANDIN RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240152815",
"telephone_number": "540-524-2114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWSON KOEPPEL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A",
"authorized_official_last_name": "KOEPPEL",
"authorized_official_first_name": "LAWSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-524-2114"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.