Organization Active NPI

Blue Ridge Wellness Center LTD

  • Clinical Social Worker
  • Martinsville, VA
National Provider Identifier
1992981070
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000480 Issued in VA
Legal business name
BLUE RIDGE WELLNESS CENTER LTD
Practice address
325 E Church St
Martinsville, VA 24112-2928
Phone
(276) 666-2605
Fax
(276) 632-2991
NPI assigned
Jan 18, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Mrs. Julia Lumsden Hall, LCSWNPI 1497778708
Title
President
Phone
(276) 666-2605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904000480 VA Primary

Addresses

Primary practice location

325 E Church St
Martinsville, VA 24112-2928

Mailing address

325 E Church St
Martinsville, VA 24112-2928
Phone (276) 666-2605

National Provider Directory

National Provider Directory

Locations

15 Cleveland Ave
Ste 7
Martinsville, VA 24112
Phone (276) 656-3868

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1992981070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E CHURCH ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122928",
            "telephone_number": "276-666-2605",
            "fax_number": "276-632-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E CHURCH ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122928",
            "telephone_number": "276-666-2605",
            "fax_number": "276-632-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE WELLNESS CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "LUMSDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-666-2605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.