Marie A. Clatterbuck, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

DP00943202 Issued in WV

Practice address

2311 Ohio Ave Ste a
Parkersburg, WV 26101-2559

Phone

(304) 422-5114

Fax

(304) 422-5751

NPI assigned

Jan 26, 2007

Last updated

Aug 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marie A. Carney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Barry County Community Mental Health Authority

  • Psychiatry Physician
  • Hastings, MI
  • NPI 1952357410

  Clinical

  NPD (past)
• Pennock Hospital

  dba Specialist Group

  • Internal Medicine Physician
  • Hastings, MI
  • NPI 1750500435
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1699821389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 OHIO AVE STE A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012559",
            "telephone_number": "304-623-3461",
            "fax_number": "304-422-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 OHIO AVE STE A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012559",
            "telephone_number": "304-422-5114",
            "fax_number": "304-422-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Drive",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "WV",
            "postal_code": "263014199",
            "country_code": "US",
            "telephone_number": "304-623-3461 x4627",
            "fax_number": "304-422-5751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "936 Market St",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261014737",
            "country_code": "US",
            "telephone_number": "304-422-7300",
            "fax_number": "304-428-3719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLATTERBUCK",
        "first_name": "MARIE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "DP00943202",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L872728",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WV BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "DP00943202",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "CARNEY",
            "middle_name": "A.",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark James Cinalli, OD
• Emily Cinnamon
• Taiven Lyric Clark, BS
• Clarksburg Vamc
• Alexis Clatterbuck
• Elizabeth D Claudio
• Candace M Claypool
• Clean & Clear Advantage, LLC
• Clean and Clear Advantage
• Andrew 6812959399 Clegg

• Social Worker in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.