Active NPI
Eternity, Inc
- Clinical Social Worker
- Morgantown, WV
National Provider Identifier
1669538732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00454299
- Legal business name
- ETERNITY, INC
- Practice address
- 112 Euclid Ave
Morgantown, WV 26501-6584 - Phone
- (304) 291-5964
- NPI assigned
- Dec 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jane B. Riffe, ED.D.
- Title
- Vicepresident, Secretary
- Phone
- (304) 291-5964
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 529 | WV | |
| Clinical Social Worker | 1041C0700X | DP00454299 | WV | Primary |
Addresses
Primary practice location
112 Euclid Ave
Morgantown, WV 26501-6584
Mailing address
112 Euclid Ave
Morgantown, WV 26501-6584
Phone (304) 291-5964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW09442 | Other | PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319846400000",
"number": "1669538732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 EUCLID AVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265016584",
"telephone_number": "304-291-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 EUCLID AVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265016584",
"telephone_number": "304-291-5964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ETERNITY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-30",
"last_updated": "2011-10-29",
"status": "A",
"authorized_official_last_name": "RIFFE",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "VICEPRESIDENT, SECRETARY",
"authorized_official_telephone_number": "304-291-5964",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "529",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00454299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "SW09442",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.