Active NPI
Marcedes Ann Minana
- Social Worker
- Morgantown, WV
National Provider Identifier
1679001150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BP00945045
- Practice address
- 235 High St Ste 223
Morgantown, WV 26505-5446 - Phone
- (814) 341-9000
- NPI assigned
- May 30, 2017
- Sex
- Female
- 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 | BP00945045 | WV | Primary |
Addresses
Primary practice location
235 High St Ste 223
Morgantown, WV 26505-5446
Mailing address
49 Sennett St
Morgantown, WV 26501-6642
Phone (814) 341-9000
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
| License | State | Type | Specialty |
|---|---|---|---|
| BP00945045 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496102400000",
"number": "1679001150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 SENNETT ST",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265016642",
"telephone_number": "814-341-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 HIGH ST STE 223",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265055446",
"telephone_number": "814-341-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINANA",
"first_name": "MARCEDES",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2017-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "BP00945045",
"primary": true
}
],
"identifiers": [],
"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 May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.