Individual provider Active NPI

Elmira J King, LCSW

  • Clinical Social Worker
  • Ashland, VA
National Provider Identifier
1992953491
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002787 Issued in VA
Practice address
100 Arbor Oak Dr Ste 205a
Ashland, VA 23005-2261
Phone
(804) 869-2960
Fax
(804) 883-5983
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 0904002787 VA Primary

Addresses

Primary practice location

100 Arbor Oak Dr Ste 205a
Ashland, VA 23005-2261

Mailing address

PO Box 366
Ashland, VA 23005-0366
Phone (804) 869-2960

Other identifiers 1

IdentifierTypeStateIssuer
190001140OtherVAMEDICARE

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
I20041101000448 VA Practitioner - Clinical Social Worker 5698737757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Educations Services of VA., Inc. Past Accepting new patients
Milestone Counseling Services LLC PastSince Jun 23, 2011 Accepting new patients
Mackell Training & Consultants Inc. PastSince Jun 6, 2008 Accepting new patients
Associated Educational Services of VA., Inc Past Accepting new patients

Organizations & group practices 4

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1992953491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230050366",
            "telephone_number": "804-869-2960",
            "fax_number": "804-883-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARBOR OAK DR STE 205A",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230052261",
            "telephone_number": "804-869-2960",
            "fax_number": "804-883-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ELMIRA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "190001140",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

Verify at the official NPI Registry.