Individual provider Active NPI

Constance Veta Staley Richards, L.C.S.W.

  • Clinical Social Worker
  • Front Royal, VA
National Provider Identifier
1982839049
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005101 Issued in VA
Practice address
200 Academy Dr
Randolph-Macon Academy
Front Royal, VA 22630-2601
Phone
(540) 636-5431
Fax
(540) 631-3827
NPI assigned
May 19, 2009
Last updated
May 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 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 0904005101 VA Primary

Addresses

Primary practice location

200 Academy Dr
Randolph-Macon Academy
Front Royal, VA 22630-2601

Mailing address

200 Academy Dr
Randolph-Macon Academy
Front Royal, VA 22630-2601
Phone (540) 636-5431

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Community Services Board Clinical PastSince Nov 1, 2006 Accepting new patients
Randolph-Macon Academy Past Accepting new patients

Organizations & group practices 2

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1982839049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ACADEMY DR",
            "address_2": "RANDOLPH-MACON ACADEMY",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302601",
            "telephone_number": "540-636-5431",
            "fax_number": "540-631-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ACADEMY DR",
            "address_2": "RANDOLPH-MACON ACADEMY",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302601",
            "telephone_number": "540-636-5431",
            "fax_number": "540-631-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "CONSTANCE",
        "middle_name": "VETA STALEY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.