Rachel Lydia Dunn, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

BP00944453 Issued in WV

Practice address

105 N Wedge St Ste 3
Bridgeport, WV 26330-2023

Phone

(304) 241-1766

Fax

(855) 898-5805

NPI assigned

Oct 31, 2022

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountaineer Psychological Services, PLLC

  • Clinical Psychologist
  • Morgantown, WV
  • NPI 1306242540
  NPD (past)

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1386351484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CADET ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542005",
            "telephone_number": "304-290-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N WEDGE ST STE 3",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263302023",
            "telephone_number": "304-241-1766",
            "fax_number": "855-898-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "RACHEL",
        "middle_name": "LYDIA",
        "name_prefix": "Mrs.",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00944453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. K. P. Wilson, PLLC (Wilson Martino Dental of Bridgeport)
• Dr. Kress Eyecare Associates, PLLC
• Elijah Bradley Drummond, PA-C
• Sophia Tina Nicole Duarte
• James Arthur Dunbar III, MSW; PH.D.
• Michael M Dutkevicz, PA-C
• Jason Dziak, MS OTR/L
• Heather J Earl, PAC
• Cheyenne Earle, DO
• Holly Virginia Echard

• Social Worker in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.