Westervelt, John I

Westervelt, John I is an individual health care provider with primary practice located at 2017 Jefferson St Sw Crmh Rehabilitation Center, Roanoke VA 24014-2419. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Westervelt, John I can be contacted via phone (540) 981-7963.

Contact Information

Primary practice address
2017 Jefferson St Sw Crmh Rehabilitation Center Roanoke VA 24014-2419
Phone: (540) 981-7963
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904-003354 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000003 Virginia

Profile Details

NPI number 1376519678
LBN Legal business name Westervelt, John I
Credentials LCSW LSATP SAP ADS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jun 13th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376519678 NPPES
Virginia MEDICAID 008930490
Virginia MEDICAID 1376519678
Virginia MEDICAID 008953384
Virginia MEDICAID 010198569
Virginia MEDICAID 010198674
Virginia MEDICAID 8918309

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