Active NPI
Jennifer Hall, MSW, LICSW
- Social Worker
- Camden on Gauley, WV
National Provider Identifier
1841964046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- DP00943287
- Practice address
- 10003 Webster Rd
Camden on Gauley, WV 26208-7713 - Phone
- (304) 226-5725
- NPI assigned
- Aug 3, 2021
- Last updated
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | DP00943287 | WV | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 25317 | WV |
Addresses
Primary practice location
10003 Webster Rd
Camden on Gauley, WV 26208-7713
Mailing address
PO Box 420
Canvas, WV 26662-0420
Phone (304) 651-8718
Other practice location 1
16414 Webster Rd
Craigsville, WV 26205-8512
Phone (304) 742-3004
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25317 | WV | MD | Addiction (Substance Use Disorder) Counselor |
| DP00943287 | WV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden on Gauley Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Camden Family Health
- Federally Qualified Health Center (FQHC)
- Craigsville, WV
- NPI 1427585157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1841964046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 420",
"city": "CANVAS",
"state": "WV",
"postal_code": "266620420",
"telephone_number": "304-651-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10003 WEBSTER RD",
"city": "CAMDEN ON GAULEY",
"state": "WV",
"postal_code": "262087713",
"telephone_number": "304-226-5725"
}
],
"practiceLocations": [
{
"address_1": "16414 Webster Rd",
"address_purpose": "LOCATION",
"city": "Craigsville",
"state": "WV",
"postal_code": "262058512",
"country_code": "US",
"telephone_number": "304-742-3004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "JENNIFER",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "DP00943287",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WV",
"license": "25317",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden on Gauley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.