Active NPI
Mountain Care Network
Doing business as Riverview
- Clinical Social Worker
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MOUNTAIN CARE NETWORK
- Doing business as
- Riverview
- Practice address
- 2510 Kanawha Blvd E
Charleston, WV 25311-2308 - Phone
- (304) 419-8890
- NPI assigned
- May 26, 2021
- Last updated
- May 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Price, LICSW
- Title
- Owner
- Phone
- (304) 419-8890
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
2510 Kanawha Blvd E
Charleston, WV 25311-2308
Mailing address
1021 Quarrier St Ste 310
Charleston, WV 25301-2338
Phone (304) 513-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WVTPID-010386 | Medicaid | WV |
Other names 1
- Riverview
National Provider Directory
National Provider Directory- Tax ID family
- Mountain Care Network
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Charleston, WV
- NPI 1720679897
Locations
2510 Kanawha Blvd E
Charleston, WV 25311
Phone (304) 419-8890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Charleston, WV
- NPI 1821540279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1477128825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 QUARRIER ST STE 310",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012338",
"telephone_number": "304-513-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 KANAWHA BLVD E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253112308",
"telephone_number": "304-419-8890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN CARE NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-419-8890",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WVTPID-010386",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverview",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.