Individual provider Active NPI

Naomi Crickenberger, LICSW

  • Clinical Social Worker
  • Bridgeport, WV
National Provider Identifier
1376266775
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00946342 Issued in WV
Practice address
65 Professional PL
Bridgeport, WV 26330-0258
Phone
(304) 848-5770
Fax
(304) 848-5477
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 DP00946342 WV Primary

Addresses

Primary practice location

65 Professional PL
Bridgeport, WV 26330-0258

Mailing address

65 Professional PL Ste 102
Bridgeport, WV 26330-0259
Phone (304) 848-5770

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
I20251205004310 WV Practitioner - Clinical Social Worker 2062905169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

797 Clinic Dr
Ivydale, WV 25113-8263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00946342WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. CurrentSince Aug 30, 2025 Accepting new patients
Community Care of West Virginia Inc CurrentSince Aug 30, 2025 Accepting new patients
Community Care of West Virginia, Inc. PastSince Sep 25, 2022 Accepting new patients

Locations

65 Professional Pl
Ste 102
Bridgeport, WV 26330
Phone (304) 848-5770

100 Market Pl
Bridgeport, WV 26330
Phone (304) 848-5770

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1376266775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL STE 102",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300259",
            "telephone_number": "304-848-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300258",
            "telephone_number": "304-848-5770",
            "fax_number": "304-848-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRICKENBERGER",
        "first_name": "NAOMI",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00946342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.