Heather Anne Radcliffe, LICSW ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00941015 Issued in WV

Practice address

65 Professional PL Ste 102103
Bridgeport, WV 26330-0258

Phone

(304) 848-5770

Fax

(304) 848-0980

NPI assigned

May 15, 2012

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles (60 of 61)

Locations (25 of 26)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Care of West Virginia Inc

  dba Adamston Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1851787121
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Robert Bland Middle School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1043686553
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care of Clarksburg

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1053742668
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Little Birch Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1053821363
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care Connections of Buckhannon

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1063048189
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care of Bridgeport

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, WV
  • NPI 1063808418
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba CareXpress of Weston

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1073944658
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Braxton County Middle School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1104175058
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Roanoke Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Roanoke, WV
  • NPI 1104292168
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care of Bridgeport

  • Community/Behavioral Health Agency
  • Bridgeport, WV
  • NPI 1144811290
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Mountaineer Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1164809802
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Liberty Middle School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1194111468
  Medicare reassignment NPD

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1649539396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL STE 102103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300258",
            "telephone_number": "304-848-5770",
            "fax_number": "304-848-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL STE 102103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300258",
            "telephone_number": "304-848-5770",
            "fax_number": "304-848-0980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1512 Dawn Dr # 2",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265549246",
            "country_code": "US",
            "telephone_number": "304-657-1473",
            "fax_number": "304-212-7731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADCLIFFE",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "credential": "LICSW  ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00941015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Brianne Queen, CCC-SLP
• Amber Brook Quinn, PA
• Luis Horacio Quiroga, MD
• Abigail Radcliff
• Eric J Radcliffe, MD
• Salam H Rajjoub, MD
• Robin Annette Raleigh, MOTR/L
• Vigneshwaran Ramanathan, MD
• Cheyenne Ramsey
• Tammy Jo Ramsey, C.R.N.A

• Clinical Social Worker in Bridgeport, WV
• Providers in Bridgeport, 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 Sep 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.