Madeleine Casto

Individual provider Active NPI Community Health Worker · Millwood, WV

NPI 1407428014 · NPPES record last updated Jul 13, 2021

Key facts

NPI
1407428014
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
304 Dogwood Dr
Millwood, WV 25262-9732
Phone
(304) 531-4626
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

304 Dogwood Dr
Millwood, WV 25262-9732

Mailing address

304 Dogwood Dr
Millwood, WV 25262-9732
Phone (304) 531-4626

Other providers in Millwood, WV

All providers in Millwood, WV · Community Health Worker in West Virginia

Sources for this page

Verify at the official NPI Registry.