Christy Wickline, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00944176 Issued in WV

Practice address

804 Industrial Park Rd
#1
Maxwelton, WV 24957-8066

Phone

(304) 497-0500

Fax

(304) 497-0516

NPI assigned

Dec 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainelle Medical Center IncGroup PAC ID 7416861810, shared by 16 NPIs, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Meadow Bridge, WV
  • NPI 1093883324
  Medicare reassignment NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Hinton, WV
  • NPI 1285303156
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265068001
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265101273
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1679223390
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • White Sulphur Springs, WV
  • NPI 1093165722
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1497244412
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Maxwelton, WV
  • NPI 1528417946
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Caldwell, WV
  • NPI 1578399085
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hico, WV
  • NPI 1952815268
  Medicare reassignment NPD
• Seneca Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maxwelton, WV
  • NPI 1154532513
  Medicare reassignment NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Rupert, WV
  • NPI 1811081821
  NPD

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1821496548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WELLNESS DR",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266515402",
            "telephone_number": "304-872-6503",
            "fax_number": "304-872-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 INDUSTRIAL PARK RD",
            "address_2": "#1",
            "city": "MAXWELTON",
            "state": "WV",
            "postal_code": "249578066",
            "telephone_number": "304-497-0500",
            "fax_number": "304-497-0516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Wellness Dr",
            "address_purpose": "LOCATION",
            "city": "Summersville",
            "state": "WV",
            "postal_code": "266515402",
            "country_code": "US",
            "telephone_number": "304-872-2659",
            "fax_number": "304-872-1685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Marlinton",
            "state": "WV",
            "postal_code": "249541142",
            "country_code": "US",
            "telephone_number": "304-799-6865",
            "fax_number": "304-799-6878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Parcoal Rd",
            "address_purpose": "LOCATION",
            "city": "Webster Springs",
            "state": "WV",
            "postal_code": "262889767",
            "country_code": "US",
            "telephone_number": "304-847-5425",
            "fax_number": "304-847-5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKLINE",
        "first_name": "CHRISTY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00944176",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Charles Thornton
• Elizabeth Vance
• Cassi Vannatter, LPN
• Kimberly Dawn White
• Melissa Leigh Whitt, LPN
• Timothy Dale Wilson Sr.
• Thaddeus Benton Wingler
• Johnathan Chance Withrow, RN-BSN
• Lindsey Wolford
• Joshua Workman, PHARMD

• Clinical Social Worker in Maxwelton, WV
• Providers in Maxwelton, 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 Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.