Nicole Keefauver, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00943430 Issued in WV

Practice address

99 Tavern Road
Martinsburg, WV 25401

Phone

(304) 263-4999

NPI assigned

Jun 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Shenandoah Valley Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Berkeley Springs, WV
  • NPI 1568186153
  NPD (past)
• Shenandoah Valley Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winchester, VA
  • NPI 1023217452
  NPD (past)

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1780065193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25402",
            "telephone_number": "304-263-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TAVERN ROAD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-263-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFAUVER",
        "first_name": "NICOLE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00943430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Leanne Kay
• Derek D Kaznoski, M.D.
• Shana R Kaznoski, D.O.
• James W Kee, MPT
• Laura Kee, SLP
• James H Keefer, MS, LPC
• Jerri Keel, PHARMD
• Melissa Diane Kees
• Timothy Thomas Kefauver, RPH
• Stephanie L Keffer, M.S.NCSP

• Clinical Social Worker in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.