Clifton Lee Belcher, PRSS
Individual provider Active NPI Peer Specialist · Charleston, WV
NPI 1689385346 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1689385346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- F575772 (WV)
- Practice address
- 1206 Quarrier St
Charleston, WV 25301-1843 - Phone
- (681) 340-1979
- NPI assigned
- Dec 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F575772 | WV | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | F575772 | WV | Yes |
Addresses
Primary practice location
1206 Quarrier St
Charleston, WV 25301-1843
Mailing address
1206 Quarrier St
Charleston, WV 25301-1843
Phone (681) 340-1979
Other providers in Charleston, WV
- Kelly R Begil
- Gurpreet Behal
- Alemayehu Bekele
- Beverly Belcher
- Christina Belcher
- Connie Belcher
- Eboni Belcher
- Elizabeth Belcher
- Jackie Belcher
- Jenna Belcher
All providers in Charleston, WV · Peer Specialist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.