Provider Demographics
NPI:1790767408
Name:DALRYMPLE, CLAIRE (LCSW)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:DALRYMPLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3499 OLD BALTIMORE RD
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:VA
Mailing Address - Zip Code:24324-2969
Mailing Address - Country:US
Mailing Address - Phone:540-980-0165
Mailing Address - Fax:
Practice Address - Street 1:700 UNIVERSITY CITY BLVD
Practice Address - Street 2:NEW RIVER VALLEY COMMUNITY SERVICES
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060
Practice Address - Country:US
Practice Address - Phone:540-961-8400
Practice Address - Fax:540-961-8465
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040051961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA081731MOtherSENTARA
VA173359OtherANTHEM
VA173359OtherANTHEM