Ardith Payne, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00944180 Issued in WV

Practice address

700 Technology Dr
South Charleston, WV 25309-8571

Phone

(304) 746-5300

Fax

(304) 746-3912

NPI assigned

Mar 19, 2014

Last updated

Mar 20, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1255758066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 TECHNOLOGY DR",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253098571",
            "telephone_number": "304-746-5300",
            "fax_number": "304-746-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TECHNOLOGY DR",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253098571",
            "telephone_number": "304-746-5300",
            "fax_number": "304-746-3912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Smith St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011214",
            "country_code": "US",
            "telephone_number": "304-414-2302",
            "fax_number": "304-345-8163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ARDITH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005355002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Gail Pauley
• Raven Pauley
• Sally Pauley
• Jessica Pauline, COTA/L
• Leona Kay Paxton
• Rhonda Payne
• Tonya Paynter
• Peace Valley Counseling Center LLC
• Pediatric Gastroenterology of Charleston, PLLC
• Brenda Pena

• Clinical Social Worker in South Charleston, WV
• Providers in South Charleston, 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 Mar 20, 2019; 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.