Active NPI
Jeremy Kevin Wentz, LICSW
- Social Worker
- Clarksburg, WV
National Provider Identifier
1649537192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- DP00944022
- Practice address
- 6 Hospital Plaza
United Summit Center Inc
Clarksburg, WV 26301 - Phone
- (304) 623-5661
- Fax
- (304) 623-2180
- NPI assigned
- Apr 20, 2012
- Sex
- Male
- 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 | DP00944022 | WV | Primary |
Addresses
Primary practice location
6 Hospital Plaza
United Summit Center Inc
Clarksburg, WV 26301
Mailing address
504 Emily Dr # 1028
Clarksburg, WV 26301-5507
Phone (304) 627-1106
Other practice location 1
504 Emily Dr # 1028
Clarksburg, WV 26301-5507
Phone (304) 627-1106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6 Hospital PLZ
Clarksburg, WV 26301-9316
Phone (304) 623-5661
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.01 of 100
- Quality
- 94.2
- Promoting interoperability
- 100
- Improvement activities
- 20
- Cost
- 92.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- jwentz235439@direct.wvuhsdirect.com
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Clarksburg, WV
- NPI 1750332524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748736000000",
"number": "1649537192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 EMILY DR # 1028",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263015507",
"telephone_number": "304-627-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 HOSPITAL PLAZA",
"address_2": "UNITED SUMMIT CENTER INC",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "26301",
"telephone_number": "304-623-5661",
"fax_number": "304-623-2180"
}
],
"practiceLocations": [
{
"address_1": "504 Emily Dr # 1028",
"address_purpose": "LOCATION",
"city": "Clarksburg",
"state": "WV",
"postal_code": "263015507",
"country_code": "US",
"telephone_number": "304-627-1106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENTZ",
"first_name": "JEREMY",
"middle_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2025-06-01",
"certification_date": "2025-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "DP00944022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.