Individual provider Active NPI

Rebecca H Steadman, LCSW

  • Social Worker
  • Clarksburg, WV
National Provider Identifier
1649930264
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CP00944287 Issued in WV
Practice address
1 Med Center Dr
Clarksburg, WV 26301-4155
Phone
(304) 266-6421
Fax
(304) 626-7743
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CP00944287 WV Primary

Addresses

Primary practice location

1 Med Center Dr
Clarksburg, WV 26301-4155

Mailing address

9106 Carriage LN
Fairmont, WV 26554-7831

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

LicenseStateTypeSpecialty
CP00944287WVMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1649930264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 CARRIAGE LN",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265547831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MED CENTER DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263014155",
            "telephone_number": "304-266-6421",
            "fax_number": "304-626-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEADMAN",
        "first_name": "REBECCA",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "CP00944287",
            "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 Dec 27, 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.