Individual provider Active NPI

Kevin Harper, LGSW

  • Clinical Social Worker
  • Peterstown, WV
National Provider Identifier
1396245494
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BP00945237 Issued in WV
Practice address
2869 Seneca TRL S
Peterstown, WV 24963-5037
Phone
(304) 772-5452
NPI assigned
Feb 15, 2018
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 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 BP00945237 WV Primary

Addresses

Primary practice location

2869 Seneca TRL S
Peterstown, WV 24963-5037

Mailing address

PO Box 590
Union, WV 24983-0590
Phone (304) 256-7123

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
I20220504001809 WV Practitioner - Clinical Social Worker 4981940699 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00945237WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe County Health Center Board of Trustees CurrentSince Mar 14, 2022 Accepting new patients
Monroe County Health Center Board of Trustees CurrentSince Mar 14, 2022 Accepting new patients
Monroe County Health Center Board of Trustees Past Accepting new patients
Monroe County Health Center Board of Trustees Past Accepting new patients
FMRS Health Systems Inc Past Accepting new patients

Locations

200 Health Center Dr
Union, WV 24983
Phone (304) 772-3064

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1396245494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "UNION",
            "state": "WV",
            "postal_code": "249830590",
            "telephone_number": "304-256-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 SENECA TRL S",
            "city": "PETERSTOWN",
            "state": "WV",
            "postal_code": "249635037",
            "telephone_number": "304-772-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "KEVIN",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00945237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterstown, WV

Sources for this page

Verify at the official NPI Registry.