Active NPI
Taylor Scites, MSW
- School Social Worker
- Lavalette, WV
National Provider Identifier
1003690520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- SW052316639
- Practice address
- 4625 WV-152
Lavalette, WV 25535 - Phone
- (740) 340-1602
- NPI assigned
- Aug 24, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | SW052316639 | WV | Primary |
Addresses
Primary practice location
4625 WV-152
Lavalette, WV 25535
Mailing address
9 Chesapeake PLZ
Chesapeake, OH 45619-1003
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 |
|---|---|---|---|
| SW052316639 | WV | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Group Home, LLC | Current | Accepting new patients | |
| Phoenix Group Home, LLC | Past | Accepting new patients |
Locations
9 Chesapeake Plz
Chesapeake, OH 45619
Phone (740) 297-6019
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pathihc/r4/
Organizations & group practices 2
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.
-
dba PATH Integrated Healthcare
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1083146013
-
dba Path Behavioral Health- SUD
- Substance Abuse Rehabilitation Facility
- Cincinnati, OH
- NPI 1336654854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1003690520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CHESAPEAKE PLZ",
"city": "CHESAPEAKE",
"state": "OH",
"postal_code": "456191003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 WV-152",
"city": "LAVALETTE",
"state": "WV",
"postal_code": "25535",
"telephone_number": "740-340-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCITES",
"first_name": "TAYLOR",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "WV",
"license": "SW052316639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lavalette, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.