Individual provider Active NPI

Jessica Fleming, LGSW

  • Social Worker
  • Princeton, WV
National Provider Identifier
1689497133
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW102417253 Issued in WV
Practice address
152 Misty LN
Princeton, WV 24740-6462
Phone
(304) 223-5200
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X SW102417253 WV Primary

Addresses

Primary practice location

152 Misty LN
Princeton, WV 24740-6462

Mailing address

PO Box 5621
Princeton, WV 24740-5621
Phone (304) 223-5200

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
SW102417253WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Myers & Associates Counseling Center, LLC Multi-Specialty CurrentSince Nov 10, 2024 Accepting new patients
Myers & Associates Counseling Center, LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

152 Misty Ln
Princeton, WV 24740
Phone (304) 223-5200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1689497133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5621",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247405621",
            "telephone_number": "304-223-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MISTY LN",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247406462",
            "telephone_number": "304-223-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "JESSICA",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WV",
            "license": "SW102417253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.