Individual provider Active NPI

Charity Lyn Rossi, MSW, LGSW

  • Clinical Social Worker
  • Charleston, WV
National Provider Identifier
1295904597
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BP00943026 Issued in WV
Practice address
1021 Quarrier St Ste 414
Charleston, WV 25301-2331
Phone
(304) 340-3676
Fax
(304) 340-3688
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BP00943026 WV Primary

Addresses

Primary practice location

1021 Quarrier St Ste 414
Charleston, WV 25301-2331

Mailing address

1520 Stonehenge Rd
Charleston, WV 25314-1660
Phone (304) 344-2850

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
I20250820004198 WV Practitioner - Clinical Social Worker 2062912546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1203 Johnstown Rd
Beckley, WV 25801-4943

1520 Stonehenge Rd
Charleston, WV 25314-1660

4815 Maccorkle Ave SE
Charleston, WV 25304-1948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00943026WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic, Inc CurrentSince Aug 1, 2025 Accepting new patients
Family Counseling Connections Past Accepting new patients
Family Counseling Connection Past Accepting new patients

Locations

4815 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 202-1910

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1295904597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 STONEHENGE RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141660",
            "telephone_number": "304-344-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 QUARRIER ST STE 414",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012331",
            "telephone_number": "304-340-3676",
            "fax_number": "304-340-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "CHARITY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00943026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.