Healthcare Provider Details

I. General information

NPI: 1962310789
Provider Name (Legal Business Name): WILLIAM ADAM WEST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5673 AIRPORT RD NW
ROANOKE VA
24012-1119
US

IV. Provider business mailing address

5511 STAPLES MILL RD STE 102
HENRICO VA
23228-5445
US

V. Phone/Fax

Practice location:
  • Phone: 540-523-8099
  • Fax: 540-400-8808
Mailing address:
  • Phone: 804-440-3700
  • Fax: 804-264-2541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: