Individual provider Active NPI

Jamie Downs, MSW, LICSW, AADC

  • Clinical Social Worker
  • Morgantown, WV
National Provider Identifier
1013259068
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00944084 Issued in WV
Practice address
3461 University Ave
Suite 102
Morgantown, WV 26505-3198
Phone
(304) 680-7003
NPI assigned
Mar 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11-105 WV
Pastoral Counselor 101YP1600X
Clinical Social Worker 1041C0700X DP00944084 WV Primary

Addresses

Primary practice location

3461 University Ave
Suite 102
Morgantown, WV 26505-3198

Mailing address

3461 University Ave
Suite 102
Morgantown, WV 26505-3198
Phone (304) 680-7003

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

LicenseStateTypeSpecialty
11-105WVMDAddiction (Substance Use Disorder) Counselor
DP00944084WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Therapy Center, LLC Clinical 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1013259068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 UNIVERSITY AVE",
            "address_2": "SUITE 102",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053198",
            "telephone_number": "304-680-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 UNIVERSITY AVE",
            "address_2": "SUITE 102",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053198",
            "telephone_number": "304-680-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "JAMIE",
        "credential": "MSW, LICSW, AADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-17",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "11-105",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.