Cari S. Braddock
Individual provider Active NPI School Social Worker · Wise, VA
NPI 1962919035 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1962919035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- PGP-0646591 (VA)
- Practice address
- 628 Lake St NE
Wise, VA 24293-7919 - Phone
- (276) 328-8017
- NPI assigned
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PGP-0646591 | VA | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise County Public Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | PGP-0646591 | VA | Yes |
Addresses
Primary practice location
628 Lake St NE
Wise, VA 24293-7919
Mailing address
628 Lake St NE
Wise, VA 24293-7919
Other providers in Wise, VA
- Michelle James Arney
- Allison Slemp Bartlett
- James Bradley Bates
- Kathryn Blunt
- Brianna Nicole Bohnert
- Amy Elizabeth Brock
- Kalianna Grace Brooks
- Tiffany Buchanan
- Jack Butler
- Eleanor Sue Cantrell
All providers in Wise, VA · School Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.