Organization Active NPI

Mountain Cap of West Virginia Inc.

  • Clinical Social Worker
  • Buckhannon, WV
National Provider Identifier
1245753250
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00945017 Issued in WV
Legal business name
MOUNTAIN CAP OF WEST VIRGINIA INC.
Practice address
26 N Kanawha St Ste 201
Buckhannon, WV 26201-2714
Phone
(304) 472-1500
Fax
(304) 472-9064
NPI assigned
Jul 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kathy McMurray
Title
Executive Director
Phone
(304) 472-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X DP00945017 WV Primary

Addresses

Primary practice location

26 N Kanawha St Ste 201
Buckhannon, WV 26201-2714

Mailing address

26 N Kanawha St Ste 201
Buckhannon, WV 26201-2714
Phone (304) 472-1500

Other identifiers 1

IdentifierTypeStateIssuer
3810003013MedicaidWV

National Provider Directory

National Provider Directory

Locations

29 S Kanawha St
Buckhannon, WV 26201
Phone (304) 472-1500

26 N Kanawha St
#201
Buckhannon, WV 26201
Phone (304) 472-1500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245753250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N KANAWHA ST STE 201",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012714",
            "telephone_number": "304-472-1500",
            "fax_number": "304-472-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N KANAWHA ST STE 201",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012714",
            "telephone_number": "304-472-1500",
            "fax_number": "304-472-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CAP OF WEST VIRGINIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCMURRAY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-472-1500"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003013",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.