Active NPI
Lisa Jo Slie, MSW, LGSW
- Social Worker
- New Martinsville, WV
National Provider Identifier
1346665601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BP00944395
- Practice address
- 761 3Rd St
New Martinsville, WV 26155-1403 - Phone
- (304) 455-3035
- Fax
- (304) 455-3076
- NPI assigned
- Feb 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | BP00944395 | WV | Primary |
Addresses
Primary practice location
761 3Rd St
New Martinsville, WV 26155-1403
Mailing address
2606 National Rd
Wheeling, WV 26003-5370
Phone (304) 242-7060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP00944395 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1346665601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 NATIONAL RD",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035370",
"telephone_number": "304-242-7060",
"fax_number": "304-242-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 3RD ST",
"city": "NEW MARTINSVILLE",
"state": "WV",
"postal_code": "261551403",
"telephone_number": "304-455-3035",
"fax_number": "304-455-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLIE",
"first_name": "LISA",
"middle_name": "JO",
"name_prefix": "Miss",
"credential": "MSW, LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-24",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "BP00944395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Martinsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.