Provider Demographics
NPI:1891773800
Name:DEMASTERS, JAMES NEIL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:NEIL
Last Name:DEMASTERS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 GARTH DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-8458
Mailing Address - Country:US
Mailing Address - Phone:540-380-2418
Mailing Address - Fax:540-380-2419
Practice Address - Street 1:508 E MAIN ST
Practice Address - Street 2:SUITE 500
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-4319
Practice Address - Country:US
Practice Address - Phone:877-895-8674
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040057881041C0700X
CALCS100811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical