Amy Seckman
Individual provider Active NPI Community Health Worker · Harrison, WV
NPI 1548847486 · NPPES record last updated Mar 26, 2021
Key facts
- NPI
- 1548847486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 730 Main St
Harrison, WV 26451 - Phone
- (304) 669-1833
- NPI assigned
- Mar 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
730 Main St
Harrison, WV 26451
Mailing address
PO Box 46
West Milford, WV 26451-0046
Phone (304) 669-1833
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.