Nicholas Trietsch, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BP00944163 Issued in WV

Practice address

142 N Queen St Ste 105
Martinsburg, WV 25401-3312

Phone

(304) 579-1515

Fax

(304) 254-6206

NPI assigned

Apr 7, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mending Hearts Coaching and Counseling, LLC

  • Professional Counselor
  • Martinsburg, WV
  • NPI 1407526171
  NPD
• Courageous Journey, PLLC

  • Clinical Social Worker
  • Martinsburg, WV
  • NPI 1003250408
  NPD (past)
• Sane Space PLLC

  • Psychologist
  • Parkersburg, WV
  • NPI 1164118642
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1588082515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W MARTIN ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012310",
            "telephone_number": "301-792-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 N QUEEN ST STE 105",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013312",
            "telephone_number": "304-579-1515",
            "fax_number": "304-254-6206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Winchester Ave",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012102",
            "country_code": "US",
            "telephone_number": "304-919-0001",
            "fax_number": "888-596-2658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "142 N Queen St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254013312",
            "country_code": "US",
            "telephone_number": "304-579-1515",
            "fax_number": "304-254-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIETSCH",
        "first_name": "NICHOLAS",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00944163",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00944163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Tregoning
• Karen L Trenary, RN
• Tri-County Pastoral Counseling Service
• Tri-State Surgical Center, LLC
• Tri-State Surgical Center, LLC
• Theresa Joy Triggs, FNP-BC
• Jessica Trimer, CRNA
• Tristate Psychotherapy LLC
• Hunter Trivett
• Jill Trotter

• Clinical Social Worker in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.