Mountain Care Network

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOUNTAIN CARE NETWORK

Practice address

1021 Quarrier St Ste 310
Charleston, WV 25301-2338

Phone

(304) 513-3900

Fax

(304) 988-4424

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Crystal Price, MSW, LICSW

Title

Owner

Phone

(304) 419-8890

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ludency Alfred

  • Clinical Social Worker
  • Cross Lanes, WV
  • NPI 1093389280
  NPD (past)

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1609459189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 QUARRIER ST STE 310",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012338",
            "telephone_number": "304-513-3900",
            "fax_number": "304-988-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 QUARRIER ST STE 310",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012338",
            "telephone_number": "304-513-3900",
            "fax_number": "304-988-4424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5476 Big Tyler Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cross Lanes",
            "state": "WV",
            "postal_code": "253131100",
            "country_code": "US",
            "telephone_number": "304-513-3900 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-419-8890",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WVTPID-010386",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@mountaincarenetwork.com",
            "affiliation": "N",
            "address_1": "1021 Quarrier St Ste 310",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253012338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Drew Mossor
• Gideon Mossor
• Kelly N Mott, DDS
• Mountain Care Network
• Mountain Care Network
• Mountain Care Network
• Mountain Emergency Physicians LLP
• Mountain Pride Orthopaedics
• Mountain State Eye Associates, PLLC
• Mountain State Medical Associates PLLC

• Clinical Social Worker in Charleston, WV
• Providers in Charleston, 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 May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.