Individual provider Active NPI

Landon Lambert, LGSW

  • Social Worker
  • Morgantown, WV
National Provider Identifier
1598541203
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00946672 Issued in WV
Practice address
295 High St Ste 3
Morgantown, WV 26505-5449
Phone
(304) 363-4265
NPI assigned
Sep 7, 2023
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 BP00946672 WV Primary

Addresses

Primary practice location

295 High St Ste 3
Morgantown, WV 26505-5449

Mailing address

18 Ackerman Rd
Morgantown, WV 26508-0913
Phone (801) 859-6310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

205 E 4800
Murray, UT 84107-4902

265 E 100
Suite 250
Salt Lake City, UT 84111-1643

265 E 100 S
Suite 250
Salt Lake City, UT 84111-1643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00946672WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon K Waliser Licsw Mpa LLC Dba Mind Body Wellness CurrentSince Sep 10, 2023 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1598541203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ACKERMAN RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265080913",
            "telephone_number": "801-859-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 HIGH ST STE 3",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055449",
            "telephone_number": "304-363-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "LANDON",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00946672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.