Individual provider Active NPI

Wendy Harris Haupt, MSW, LCSW

  • Clinical Social Worker
  • Ashland, VA
National Provider Identifier
1982612370
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002416 Issued in VA
Practice address
201 N Washington Hwy Ste 207
Ashland, VA 23005
Phone
(804) 258-3765
Fax
(804) 299-3453
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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 0904002416 VA Primary

Addresses

Primary practice location

201 N Washington Hwy Ste 207
Ashland, VA 23005

Mailing address

201 N Washington Hwy Ste 207
Ashland, VA 23005-1643
Phone (804) 258-3765

Other identifiers 1

IdentifierTypeStateIssuer
8912319MedicaidVA

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
I20110518000259 VA Practitioner - Clinical Social Worker 1850577354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 N Washington Hwy
Suite 207
Ashland, VA 23005-1643
Phone (804) 258-3765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904002416VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montpelier Family Therapy LLC Clinical CurrentSince Jun 13, 2017 Accepting new patients

Locations

201 N Washington Hwy
Ste 207
Ashland, VA 23005
Phone (804) 258-3765

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1982612370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N WASHINGTON HWY STE 207",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051643",
            "telephone_number": "804-258-3765",
            "fax_number": "804-299-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N WASHINGTON HWY STE 207",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "23005",
            "telephone_number": "804-258-3765",
            "fax_number": "804-299-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPT",
        "first_name": "WENDY",
        "middle_name": "HARRIS",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912319",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

Verify at the official NPI Registry.