Access 304
Organization Active NPI Clinical Social Worker · Shepherdstown, WV
NPI 1699520270 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1699520270
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ACCESS 304
- Practice address
- 207 S Princess St
Shepherdstown, WV 25443-1581 - Phone
- (681) 900-3002
- Fax
- (304) 974-0405
- NPI assigned
- Apr 18, 2024
- Organization subpart
- No
Authorized official
- Name
- Ashley Shepard
- Title
- Executive Director
- Phone
- (571) 205-3805
Practitioners 1
National Provider Directory
Locations
207 S Princess St
Shepherdstown, WV 25443
Phone (304) 261-0313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Psychologist |
103TC0700X | |||
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
207 S Princess St
Shepherdstown, WV 25443-1581
Mailing address
PO Box 1402
Shepherdstown, WV 25443-1402
Phone (681) 900-3002
Other providers in Shepherdstown, WV
- 80 Maddex Drive Operations LLC
- Aanandha Well LLC
- Peter H Abbrecht
- Sabrina W Adams
- Aubrey Lea Alderman
- Raquel Amaro
- Sarah Amato
- Ashley Wertman
All providers in Shepherdstown, WV · Clinical Social Worker 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 Apr 18, 2024. 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.