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ESSENTIAL LIFE THERAPIES INC
NPI 1063592608
Social Worker - Clinical in Roanoke, VA

Active since October 17, 2006
5507 DOWNING ST, ROANOKE, VA 24018(540) 989-0315(540) 774-1292 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Essential Life Therapies Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIAL LIFE THERAPIES INC (NPI 1063592608) is a healthcare organization registered as a clinical in Roanoke, Virginia and active in the NPI registry since October 2006. The organization lists Jackie C Claxton, President, as its authorized official.

NPPES Registry Identity

NPI1063592608
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameESSENTIAL LIFE THERAPIES INC
Location Address5507 DOWNING STRoanoke, VA 24018-8704
Mailing AddressPo Box 4127Roanoke, VA 24015-0127 · (540) 981-9394 · Fax (540) 344-7154
Phone(540) 989-0315
Fax(540) 774-1292
Organization SubpartNo
Authorized OfficialJackie C ClaxtonPresident · (540) 989-0315
Enumeration DateOctober 17, 2006
Last NPPES UpdateJune 23, 2010
✔ NPI 1063592608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

5507 DOWNING ST, Roanoke, VA 24018
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Other Identifiers 3

Other215418VA · Anthem Bcbs
Medicare ID-Type UnspecifiedC09303VA
Medicaid008925721VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Essential Life Therapies Inc's NPI number?

The NPI number for Essential Life Therapies Inc is 1063592608. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Essential Life Therapies Inc located?

Essential Life Therapies Inc is located at 5507 Downing St, Roanoke, VA 24018. The listed phone number is (540) 989-0315.

What is Essential Life Therapies Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Essential Life Therapies Inc was last updated on June 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.