Individual provider Active NPI

Amy Elizabeth Zeiders, LICSW

  • Clinical Social Worker
  • Morgantown, WV
National Provider Identifier
1609342328
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00943072 Issued in WV
Practice address
100 Corporate Dr
Morgantown, WV 26501-4580
Phone
(304) 241-1766
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X DP00943072 WV Primary
Social Worker 104100000X BP00943072 WV

Addresses

Primary practice location

100 Corporate Dr
Morgantown, WV 26501-4580

Mailing address

1226 Kings Rd
Morgantown, WV 26508-9155
Phone (717) 275-3759

Other practice location 1

1226 Kings Rd
Morgantown, WV 26508-9155
Phone (717) 275-3759

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00943072WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Psychological Services, PLLC Clinical CurrentSince May 19, 2022 Accepting new patients
Embodied Connections, PLLC Current Accepting new patients

Locations

4000 Coombs Farm Rd
Ste 102
Morgantown, WV 26508
Phone (304) 241-1766

100 Corporate Dr
Morgantown, WV 26501
Phone (304) 241-1766

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1609342328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 KINGS RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089155",
            "telephone_number": "717-275-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265014580",
            "telephone_number": "304-241-1766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1226 Kings Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265089155",
            "country_code": "US",
            "telephone_number": "717-275-3759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEIDERS",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00943072",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00943072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.