Individual provider Active NPI

Alissa Ann Kramer, LICSW

  • Social Worker
  • Fairmont, WV
National Provider Identifier
1467081562
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
DP00939160 Issued in WV
Practice address
170 Circle Dr
Fairmont, WV 26554-1432
Phone
(304) 290-5520
NPI assigned
Apr 2, 2020
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X DP00939160 WV Primary

Addresses

Primary practice location

170 Circle Dr
Fairmont, WV 26554-1432

Mailing address

170 Circle Dr
Fairmont, WV 26554-1432
Phone (304) 290-5520

Other names 1

  • Alissa Ann Wilmoth Former name

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
I20250717001574 WV Practitioner - Clinical Social Worker 3476068438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
West Virginia University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grandw IncGroup PAC ID 9739324922, 93 clinicians

Practice addresses (Care Compare)

120 Professional PL
Bridgeport, WV 26330-4599
Phone (304) 460-5123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00939160WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GR&W, Inc CurrentSince Jun 11, 2025 Accepting new patients
Shannon K Waliser Licsw Mpa LLC Dba Mind Body Wellness CurrentSince Oct 25, 2020 Accepting new patients
Saoirse Therapy Services, PLLC CurrentSince Oct 25, 2020 Accepting new patients
GR&W, Inc PastSince Nov 18, 2025 Accepting new patients

Locations

120 Professional Pl
Bridgeport, WV 26330
Phone (681) 214-0101

120 Professional Pl
Ste 101
Bridgeport, WV 26330
Phone (304) 369-8878

1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238

295 High St
Ste 3
Morgantown, WV 26505
Phone (304) 363-4265

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 218-9405

Organizations & group practices 4

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1467081562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CIRCLE DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541432",
            "telephone_number": "304-290-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CIRCLE DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541432",
            "telephone_number": "304-290-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "ALISSA",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "DP00939160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "WILMOTH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.