Active NPI
Judith Condon, MSW
- Social Worker
- Philippi, WV
National Provider Identifier
1619310398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- AP00942213
- Practice address
- 23 Wabash Ave
Philippi, WV 26416-1262 - Phone
- (304) 457-1670
- Fax
- (304) 457-1296
- NPI assigned
- Apr 11, 2013
- Last updated
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | AP00942213 | WV | Primary |
Addresses
Primary practice location
23 Wabash Ave
Philippi, WV 26416-1262
Mailing address
23 Wabash Ave
Philippi, WV 26416-1262
Phone (304) 457-1670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00942213 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1619310398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 WABASH AVE",
"city": "PHILIPPI",
"state": "WV",
"postal_code": "264161262",
"telephone_number": "304-457-1670",
"fax_number": "304-457-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 WABASH AVE",
"city": "PHILIPPI",
"state": "WV",
"postal_code": "264161262",
"telephone_number": "304-457-1670",
"fax_number": "304-457-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "JUDITH",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "AP00942213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philippi, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.