Active NPI
Mary Fairbank O'Meara, LCSW
- Clinical Social Worker
- Culpeper, VA
National Provider Identifier
1962435321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001386
- Practice address
- 165 E Davis St
Culpeper, VA 22701-3011 - Phone
- (540) 825-1215
- Fax
- (650) 987-9444
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904001386 | VA | Primary |
Addresses
Primary practice location
165 E Davis St
Culpeper, VA 22701-3011
Mailing address
165 E Davis St
Culpeper, VA 22701-3011
Phone (540) 825-1215
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086605 | Other | VA | SOUTHERN HEALTH |
| 2993306 | Other | VA | MAMSI |
| O86605 | Other | VA | SENTARA |
| 055399 | Other | VA | ANTHEM |
| J6WCXB | Other | VA | WWT |
| A308770 | Other | VA | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904001386 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962435321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 E DAVIS ST",
"city": "CULPEPER",
"state": "VA",
"postal_code": "227013011",
"telephone_number": "540-825-1215",
"fax_number": "650-987-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 E DAVIS ST",
"city": "CULPEPER",
"state": "VA",
"postal_code": "227013011",
"telephone_number": "540-825-1215",
"fax_number": "650-987-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MEARA",
"first_name": "MARY",
"middle_name": "FAIRBANK",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "086605",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2993306",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "O86605",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "055399",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WWT",
"identifier": "J6WCXB",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A308770",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Culpeper, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.