Active NPI
Ophelia Opoku-Acheampong
- Clinical Social Worker
- Morgantown, WV
National Provider Identifier
1386125482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00944888
- Practice address
- 112 Wedgewood Dr Apt 9
Morgantown, WV 26505-2480 - Phone
- (540) 746-1830
- NPI assigned
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | DP00944888 | WV | Primary |
Addresses
Primary practice location
112 Wedgewood Dr Apt 9
Morgantown, WV 26505-2480
Mailing address
40 High St # 913
Morgantown, WV 26505-0172
Phone (540) 746-1830
Other practice location 1
933 Cheat Rd
Morgantown, WV 26508-5631
Phone (304) 554-2292
Other names 1
- Ophelia Ama Asantewaa Addai Boateng
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210821000456 | WV | Practitioner - Clinical Social Worker | 0941605455 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- opheliaopokuacheampong@tdh.allscriptsdirect.net
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": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1386125482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 HIGH ST # 913",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265050172",
"telephone_number": "540-746-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 WEDGEWOOD DR APT 9",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052480",
"telephone_number": "540-746-1830"
}
],
"practiceLocations": [
{
"address_1": "933 Cheat Rd",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265085631",
"country_code": "US",
"telephone_number": "304-554-2292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OPOKU-ACHEAMPONG",
"first_name": "OPHELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00944888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OPHELIA",
"last_name": "ADDAI BOATENG",
"middle_name": "AMA ASANTEWAA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.