Individual provider Active NPI

Joann Inglut Tweeddale, LICSW

  • Clinical Social Worker
  • Oak Hill, WV
National Provider Identifier
1043331473
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00943350 Issued in WV
Practice address
137 1/2 Main St E
Oak Hill, WV 25901-3032
Phone
(304) 573-1523
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004349 NC
Clinical Social Worker 1041C0700X DP00943350 WV Primary

Addresses

Primary practice location

137 1/2 Main St E
Oak Hill, WV 25901-3032

Mailing address

1538 Old Route 38
Fayetteville, WV 25840-6047
Phone (304) 573-1523

Other identifiers 1

IdentifierTypeStateIssuer
DP00943350OtherWVLICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004349NCMDClinical Social Worker
DP00943350WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joann Tweeddale, Licsw, PLLC CurrentSince Jul 7, 2024 Accepting new patients
New Vistas-Mountain Laurel, Inc. Clinical Past Accepting new patients
Hospice & Palliative Care of the Blue Ridge Inc PastSince Jul 31, 2017 Accepting new patients

Locations

137 Main St E
Oak Hill, WV 25901
Phone (304) 573-1523

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1043331473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 OLD ROUTE 38",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258406047",
            "telephone_number": "304-573-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 1/2 MAIN ST E",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013032",
            "telephone_number": "304-573-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEEDDALE",
        "first_name": "JOANN",
        "middle_name": "INGLUT",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004349",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00943350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DP00943350",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.