Individual provider Active NPI

Marlena Chestnut, MSW, LCSW

  • Social Worker
  • Elkins, WV
National Provider Identifier
1073811394
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00943655 Issued in WV
Practice address
200 Weese St
Elkins, WV 26241-3758
Phone
(304) 637-1002
NPI assigned
Mar 10, 2011
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00943655 WV Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

200 Weese St
Elkins, WV 26241-3758

Mailing address

PO Box 290
Harman, WV 26270-0290
Phone (304) 227-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117000956 WV Practitioner - Clinical Social Worker 2567873946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

120 S Randolph Ave
Elkins, WV 26241-3715
Phone (304) 704-3885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00943655WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Passages Therapy and Counseling, PLLC Clinical CurrentSince Oct 5, 2020 Accepting new patients
Home Links, LLC CurrentSince Feb 26, 2023 Accepting new patients
Life Reflections LLC Single Specialty Past Accepting new patients

Locations

120 S Randolph Ave
Elkins, WV 26241
Phone (304) 642-2418

200 Weese St
Elkins, WV 26241
Phone (304) 704-3885

51 Southland Dr
Fairmont, WV 26554
Phone (304) 333-8385

411 Morgantown St
Kingwood, WV 26537
Phone (304) 329-0555

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, 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": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1073811394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "HARMAN",
            "state": "WV",
            "postal_code": "262700290",
            "telephone_number": "304-227-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEESE ST",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413758",
            "telephone_number": "304-637-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTNUT",
        "first_name": "MARLENA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00943655",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.