Individual provider Active NPI

Deborah Schluter Bauer, L.C.S.W.

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1972682516
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007065 Issued in VA
Practice address
214 Mountain Ave SW
Interfaith Counseling Services
Roanoke, VA 24016-4118
Phone
(540) 343-5455
Fax
(540) 343-5074
NPI assigned
Nov 3, 2006
Last updated
Jul 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007065 VA Primary

Addresses

Primary practice location

214 Mountain Ave SW
Interfaith Counseling Services
Roanoke, VA 24016-4118

Mailing address

214 Mountain Ave SW
Roanoke, VA 24016-4118
Phone (540) 343-5455

Other identifiers 1

IdentifierTypeStateIssuer
40932700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000682 VA Practitioner - Clinical Social Worker 5890834212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

700 Univeristy City Blvd
Blacksburg, VA 24060-2706
Phone (540) 961-8300

700 University City Blvd
Blacksburg, VA 24060-2706

705 Wenonah Ave
Pearisburg, VA 24134-1660
Phone (540) 921-2238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New River Valley Community Services CurrentSince Feb 1, 2010 Accepting new patients
New River Valley Community Services CurrentSince Feb 1, 2010 Accepting new patients
Interfaith Counseling Services Past Accepting new patients

Locations

700 University City Blvd
Blacksburg, VA 24060
Phone (540) 961-8300

705 Wenonah Ave
Pearisburg, VA 24134
Phone (540) 921-2238

327 N Washington Ave
Pulaski, VA 24301
Phone (540) 994-5023

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1972682516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MOUNTAIN AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164118",
            "telephone_number": "540-343-5455",
            "fax_number": "540-343-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MOUNTAIN AVE SW",
            "address_2": "INTERFAITH COUNSELING SERVICES",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164118",
            "telephone_number": "540-343-5455",
            "fax_number": "540-343-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "DEBORAH",
        "middle_name": "SCHLUTER",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40932700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.