Individual provider Active NPI

Savanna Jayne Babcock, LICSW

  • Clinical Social Worker
  • Scarbro, WV
National Provider Identifier
1215454699
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00945155 Issued in WV
Practice address
908 Scarbro Rd
Scarbro, WV 25917-8837
Phone
(304) 469-2905
NPI assigned
Aug 25, 2017
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CP00945155 WV
Clinical Social Worker 1041C0700X DP00945155 WV Primary

Addresses

Primary practice location

908 Scarbro Rd
Scarbro, WV 25917-8837

Mailing address

PO Box 337
Scarbro, WV 25917-0337

Other practice location 1

120 Harper Ct
Beckley, WV 25801-2650
Phone (304) 255-7526

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
I20210211001994 WV Practitioner - Clinical Social Worker 4284900770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP00945155WVMDMental Health Counselor
DP00945155WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Health Services, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Seneca Health Services, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Seneca Health Services Inc Past Accepting new patients
Beautiful Minds Counseling Center Past Accepting new patients

Locations

668 Church St
Lewisburg, WV 24901
Phone (304) 497-0500

704 3rd Ave
Marlinton, WV 24954
Phone (304) 799-6865

704 3rd Ave
#A
Marlinton, WV 24954
Phone (304) 799-6865

804 Industrial Park Rd
Maxwelton, WV 24957
Phone (304) 497-0500

804 Industrial Park Rd
Ste 1
Maxwelton, WV 24957
Phone (304) 497-0500

1305 Webster Rd
Summersville, WV 26651
Phone (304) 872-6503

131 Wellness Dr
Summersville, WV 26651
Phone (304) 872-6503

180 Wellness Dr
Summersville, WV 26651
Phone (304) 872-0058

70 Parcoal Rd
Webster Springs, WV 26288
Phone (304) 847-5425

70 Parcoal Rd
#71
Webster Springs, WV 26288
Phone (304) 847-5425

Organizations & group practices 4

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": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1215454699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "259170337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SCARBRO RD",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "259178837",
            "telephone_number": "304-469-2905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Harper Ct",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012650",
            "country_code": "US",
            "telephone_number": "304-255-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "SAVANNA",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "CP00945155",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarbro, WV

Sources for this page

Verify at the official NPI Registry.