Organization Active NPI

Collective Wisdom PLLC

  • Clinical Social Worker
  • Martinsburg, WV
National Provider Identifier
1821875147
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COLLECTIVE WISDOM PLLC
Practice address
319 S Raleigh St
Martinsburg, WV 25401-2638
Phone
(304) 207-0250
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Adrienne Blume, LICSWNPI 1558963819
Title
Managing Member/Clinical Director
Phone
(304) 207-0250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

319 S Raleigh St
Martinsburg, WV 25401-2638

Mailing address

319 S Raleigh St
Martinsburg, WV 25401-2638
Phone (304) 207-0250

National Provider Directory

National Provider Directory

Locations

312 W King St
Martinsburg, WV 25401
Phone (304) 261-8456

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1821875147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S RALEIGH ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012638",
            "telephone_number": "304-207-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S RALEIGH ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012638",
            "telephone_number": "304-207-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE WISDOM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "MANAGING MEMBER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "304-207-0250",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.