Active NPI
Mark Allen Liptrap, MS, MSW, LCSW
- Social Worker
- Morgantown, WV
National Provider Identifier
1477820991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CP 00943030
- Practice address
- 165 Scott Ave Ste 208
Morgantown, WV 26508-8847 - Phone
- (304) 292-1716
- Fax
- (304) 292-1766
- NPI assigned
- Nov 29, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CP 00943030 | WV | Primary |
Addresses
Primary practice location
165 Scott Ave Ste 208
Morgantown, WV 26508-8847
Mailing address
165 Scott Ave Ste 208
Morgantown, WV 26508-8847
Phone (304) 292-1716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP 00943030 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1477820991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SCOTT AVE STE 208",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265088847",
"telephone_number": "304-292-1716",
"fax_number": "304-292-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SCOTT AVE STE 208",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265088847",
"telephone_number": "304-292-1716",
"fax_number": "304-292-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPTRAP",
"first_name": "MARK",
"middle_name": "ALLEN",
"credential": "MS, MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "CP 00943030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.