Laura Ruth Kusrashvili, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CP00944680 Issued in WV

Practice address

209 W Maple Ave
Fayetteville, WV 25840-1413

Phone

(304) 574-2100

Fax

(304) 574-2151

NPI assigned

Jul 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• FMRS Health Systems Inc

  • Community/Behavioral Health Agency
  • Beckley, WV
  • NPI 1881733616
  NPD

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1326534298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W MAPLE AVE",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401413",
            "telephone_number": "304-574-2100",
            "fax_number": "304-574-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MAPLE AVE",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401413",
            "telephone_number": "304-574-2100",
            "fax_number": "304-574-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSRASHVILI",
        "first_name": "LAURA",
        "middle_name": "RUTH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00944680",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "CP00944680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Lynn Kass, AUD
• Monica Rose Kern, BSW
• Allison Kincaid
• Anna L Kincaid
• Shauna King, MA IN COUNSELING
• Michelle Lane
• Nancy S Leggett, RN
• Douglas Lincoln Lilly, OTR/L
• Andrea Michele Logwood, OT
• Tabetha Long

• Clinical Social Worker in Fayetteville, WV
• Providers in Fayetteville, 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 Aug 25, 2025; 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.