Active NPI
Emily Landseidel, MSW
- Social Worker
- Pence Springs, WV
National Provider Identifier
1629677885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 082015581
- Practice address
- 158 Academy Lane
RT. 3
Pence Springs, WV 24962 - Phone
- (304) 445-7790
- NPI assigned
- Oct 20, 2020
- Last updated
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 082015581 | WV | Primary |
Addresses
Primary practice location
158 Academy Lane
RT. 3
Pence Springs, WV 24962
Mailing address
PO Box 798
Alderson, WV 24910-0798
Phone (304) 445-7790
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082015581 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1629677885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 798",
"city": "ALDERSON",
"state": "WV",
"postal_code": "249100798",
"telephone_number": "304-445-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 ACADEMY LANE",
"address_2": "RT. 3",
"city": "PENCE SPRINGS",
"state": "WV",
"postal_code": "24962",
"telephone_number": "304-445-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDSEIDEL",
"first_name": "EMILY",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "082015581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pence Springs, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.