Individual provider Active NPI

Daniel Speis

  • Clinical Social Worker
  • Martinsburg, WV
National Provider Identifier
1306382502
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00942760 Issued in WV
Practice address
115 Aiken'S Center Ste 14
Martinsburg, WV 25404
Phone
(304) 582-3534
NPI assigned
Jan 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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 DP00942760 WV Primary

Addresses

Primary practice location

115 Aiken'S Center Ste 14
Martinsburg, WV 25404

Mailing address

115 Aiken'S Center Ste 14
Martinsburg, WV 25404
Phone (304) 582-3534

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
I20171117001852 WV Practitioner - Clinical Social Worker 8426327511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner Awakening Counseling and Consultation, PLLCGroup PAC ID 4688930043, 2 clinicians

Practice addresses (Care Compare)

115 Aikens Ctr
Suite 14
Martinsburg, WV 25404-6210
Phone (304) 820-9365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00942760WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Awakening Counseling & Consultation, PLLC Clinical CurrentSince Sep 17, 2017 Accepting new patients

Locations

115 Aikens Ctr
Ste 14
Martinsburg, WV 25404
Phone (304) 582-3534

Organizations & group practices 1

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": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1306382502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 AIKEN'S CENTER STE 14",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25404",
            "telephone_number": "304-582-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 AIKEN'S CENTER STE 14",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25404",
            "telephone_number": "304-582-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIS",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-11",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00942760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.