Individual provider Active NPI

David M Schaffer, CSW, MSW, LICSW

  • Clinical Social Worker
  • Parkersburg, WV
National Provider Identifier
1437115151
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00940211 Issued in WV
Practice address
3705 Emerson Ave
Parkersburg, WV 26104-1118
Phone
(304) 865-0272
Fax
(304) 865-0265
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0009145 OH
Clinical Social Worker 1041C0700X DP00940211 WV Primary

Addresses

Primary practice location

3705 Emerson Ave
Parkersburg, WV 26104-1118

Mailing address

3705 Emerson Ave
Parkersburg, WV 26104
Phone (304) 865-0272

Other practice location 1

28180 Cincinnati Ridge Road
Coolville, OH 45723-5002
Phone (304) 865-0272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050310001009 WV Practitioner - Clinical Social Worker 5698729754 Reassigns benefits to 1 organization
I20210329000150 OH Practitioner - Clinical Social Worker 5698729754 Practice locations: Coolville, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Wood Duck LN
Williamstown, WV 26187-8409

4138 Williams Hwy
Williamstown, WV 26187-8397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0009145OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David M Schaffer MSW Licsw PLLC Clinical CurrentSince Jan 11, 2012 Accepting new patients
Joseph Kennell PHD PastSince Aug 15, 2014 Accepting new patients

Locations

3705 Emerson Ave
Parkersburg, WV 26104
Phone (304) 865-0272

100 Wood Duck Ln
Williamstown, WV 26187
Phone (304) 375-8800

4138 Williams Hwy
Williamstown, WV 26187
Phone (304) 375-8800

Organizations & group practices 2

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1437115151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26104",
            "telephone_number": "304-865-0272",
            "fax_number": "304-865-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041118",
            "telephone_number": "304-865-0272",
            "fax_number": "304-865-0265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28180 Cincinnati Ridge Road",
            "address_purpose": "LOCATION",
            "city": "Coolville",
            "state": "OH",
            "postal_code": "457235002",
            "country_code": "US",
            "telephone_number": "304-865-0272",
            "fax_number": "304-865-0265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "CSW, MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009145",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00940211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.