Individual provider Active NPI

Alesia Michelle Noce-Owen, DSW

  • Social Worker
  • Clarksburg, WV
National Provider Identifier
1720664220
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00943950 Issued in WV
Practice address
1 Medical Center Drive
Clarksburg, WV 26301-1910
Phone
(304) 623-3461
Fax
(304) 626-7034
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00943950 WV Primary

Addresses

Primary practice location

1 Medical Center Drive
Clarksburg, WV 26301-1910

Mailing address

1614 George Ave
Clarksburg, WV 26301-1910
Phone (304) 623-3461

Other identifiers 1

IdentifierTypeStateIssuer
BP00943950OtherWVWV SOCIAL WOK LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CPRS Direct

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
BP00943950WVMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1720664220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 GEORGE AVE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263011910",
            "telephone_number": "304-623-3461",
            "fax_number": "304-626-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263011910",
            "telephone_number": "304-623-3461",
            "fax_number": "304-626-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCE-OWEN",
        "first_name": "ALESIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00943950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV SOCIAL WOK LICENSE",
            "identifier": "BP00943950",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CPRS",
            "affiliation": "N",
            "endpointDescription": "VHA medical documentation platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Physical and mental healthcare and treatment",
            "address_1": "1 Medical Center Drive",
            "city": "Clarksburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263011910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.