Organization Active NPI

Eternity, Inc

  • Clinical Social Worker
  • Morgantown, WV
National Provider Identifier
1669538732
Registry record updated Oct 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00454299 Issued in WV
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

Updated by the provider on Oct 29, 2011

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.NPI 1740478650
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 529 WV
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SW09442OtherPTAN

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.