Active NPI
Geraldine Brantley, LSW
- Social Worker
- Mullens, WV
National Provider Identifier
1699144287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- AP00942082
- Practice address
- 408 Fairview St
Mullens, WV 25882-1324 - Phone
- (681) 222-9896
- NPI assigned
- Sep 24, 2015
- Last updated
- Feb 16, 2016
- 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 | AP00942082 | WV | Primary |
Addresses
Primary practice location
408 Fairview St
Mullens, WV 25882-1324
Mailing address
408 Fairview St
Mullens, WV 25882-1324
Phone (681) 222-9896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP00942082 | Other | WV | BOARD OF SOCIAL WORK |
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 |
|---|---|---|---|
| AP00942082 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1699144287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 FAIRVIEW ST",
"city": "MULLENS",
"state": "WV",
"postal_code": "258821324",
"telephone_number": "681-222-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 FAIRVIEW ST",
"city": "MULLENS",
"state": "WV",
"postal_code": "258821324",
"telephone_number": "681-222-9896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANTLEY",
"first_name": "GERALDINE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "AP00942082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF SOCIAL WORK",
"identifier": "AP00942082",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mullens, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.