Wanda Wyatt, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

AP00944426 Issued in WV

Practice address

704 Third Avenue
Marlinton, WV 24854-1142

Phone

(304) 799-6865

Fax

(304) 799-6878

NPI assigned

Dec 15, 2014

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

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seneca Health Services IncGroup PAC ID 8022005263, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Seneca Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maxwelton, WV
  • NPI 1154532513
  Medicare reassignment Care Compare group NPD
• Seneca Health Services, Inc.

  • Family Medicine Physician
  • Maxwelton, WV
  • NPI 1235838954
  NPD
• Seneca Health Services Inc

  • Community/Behavioral Health Agency
  • Maxwelton, WV
  • NPI 1245441609
  NPD (past)

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1225436884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WELLNESS DR",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266515402",
            "telephone_number": "304-872-6503",
            "fax_number": "304-872-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 THIRD AVENUE",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "248541142",
            "telephone_number": "304-799-6865",
            "fax_number": "304-799-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Parcoal Rd # 71",
            "address_purpose": "LOCATION",
            "city": "Webster Springs",
            "state": "WV",
            "postal_code": "262889767",
            "country_code": "US",
            "telephone_number": "304-847-5425",
            "fax_number": "304-847-5422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Maxwelton",
            "state": "WV",
            "postal_code": "249578066",
            "country_code": "US",
            "telephone_number": "304-497-0500",
            "fax_number": "304-497-0516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Wellness Dr",
            "address_purpose": "LOCATION",
            "city": "Summersville",
            "state": "WV",
            "postal_code": "266515402",
            "country_code": "US",
            "telephone_number": "304-872-2659",
            "fax_number": "304-872-1685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "WANDA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00944426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zed S Weatherholt, LSW MA
• Vada Wilson
• Kristen Nicole Withers
• Katherine A Workman, LMT
• WV'S Dynamic Motion Imaging, Inc
• Sara Dawn Yates, MA

• Social Worker in Marlinton, WV
• Providers in Marlinton, 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 Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.