Jessica Halstead, MSW, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

BP00942576 Issued in WV

Practice address

4855 Maccorkle Ave SW
Suite 200
South Charleston, WV 25309-1331

Phone

(304) 720-4444

NPI assigned

Mar 23, 2017

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)

Not 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.

• Phoenix Counseling and Support Services

  • Addiction (Substance Use Disorder) Counselor
  • South Charleston, WV
  • NPI 1285148874

  Social Worker

  NPD Authorized official

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1821529660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 6TH ST",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250643204",
            "telephone_number": "304-552-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 MACCORKLE AVE SW",
            "address_2": "SUITE 200",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091331",
            "telephone_number": "304-720-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "JESSICA",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00942576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Evelyn Hall
• Sheryl Lynn Hall
• Virginia Hall
• Michael W Halley, MD
• Zoe Rhiannon Abigail Halsey
• Carlos Hamilton
• Claire Hamilton
• Victoria L Hamlin
• Jacolby Hammersly
• Elizabeth Hammock

• Social Worker in South Charleston, WV
• Providers in South Charleston, 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 Apr 7, 2023; 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.