Active NPI
Laura Wilson, LCSW, MSW
- Social Worker
- Burlington, WV
National Provider Identifier
1003580473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CP00943189
- Practice address
- 16913 Knobley Rd
Burlington, WV 26710 - Phone
- (304) 289-3696
- NPI assigned
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CP00943189 | WV | Primary |
Addresses
Primary practice location
16913 Knobley Rd
Burlington, WV 26710
Mailing address
539 New Creek Hwy
Keyser, WV 26726-8215
Phone (304) 813-2884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00943189 | WV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burlington United Methodist Family Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Keyser, WV
- NPI 1477761054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1003580473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 NEW CREEK HWY",
"city": "KEYSER",
"state": "WV",
"postal_code": "267268215",
"telephone_number": "304-813-2884",
"fax_number": "304-788-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16913 KNOBLEY RD",
"city": "BURLINGTON",
"state": "WV",
"postal_code": "26710",
"telephone_number": "304-289-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LAURA",
"credential": "LCSW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-08-09",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "CP00943189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.