Bettie Marie Abigayle Wilfong, MSW LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

BP00945598 Issued in WV

Practice address

395 Emily Dr
Clarksburg, WV 26301-5505

Phone

(304) 460-5123

NPI assigned

Feb 14, 2022

Last updated

Feb 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1053066654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 LLOYD AVE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015686",
            "telephone_number": "304-695-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 EMILY DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015505",
            "telephone_number": "304-460-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILFONG",
        "first_name": "BETTIE",
        "middle_name": "MARIE ABIGAYLE",
        "name_prefix": "Mrs.",
        "credential": "MSW LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00945598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Whitehair
• Tiffany M Whittekind
• Madison Wiedebusch
• Laura K. Wiilson, M.A.
• Amanda Wilfong, PHARM. D.
• Rachel Wilgenhof, MS CCC-SLP
• Ashley Nicole Wilhelm, PHARM.D.
• Krista Wilkins, SLP
• Autumn Dawn Williams
• Donald Williams

• Social Worker in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.