Jeana Marie Squires, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013028

Practice address

520 S Raleigh St
Martinsburg, WV 25401-2642

Phone

(304) 262-9831

NPI assigned

Jul 7, 2021

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)

Enrolled

Practice roles

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.

• Berkeley County Council

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1972042992
  NPD

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1164093506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CARRIEBROOKE DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226556000",
            "telephone_number": "540-486-4653",
            "fax_number": "540-486-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S RALEIGH ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012642",
            "telephone_number": "304-262-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "JEANA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "0904013028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Spitalsky, RN
• Alyssa Splatter
• Tina Spring
• Keri Springer
• Whitney Queen Spry, DDS
• Amnuey Sri, M.D.
• Natalie Chantal St. Aubin, M.S., BCBA
• Tamra Stacey
• Staff Medical 247, Inc.
• Anna Stafford

• Clinical Social Worker in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.