Active NPI
David M Schaffer, CSW, MSW, LICSW
- Clinical Social Worker
- Parkersburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00940211
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| I.0009145 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M Schaffer MSW Licsw PLLC | Clinical | Current | Accepting new patients |
| Joseph Kennell PHD | Past | 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.
-
- Clinical Social Worker
- Parkersburg, WV
- NPI 1457621203
-
- Psychologist
- Parkersburg, WV
- NPI 1346657426
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.