Active NPI
Jessica G Shieler, LSW
- Clinical Social Worker
- Summersville, WV
National Provider Identifier
1851643597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00942038
- Practice address
- 131 Wellness Dr
Summersville, WV 26651-5402 - Phone
- (304) 872-2659
- Fax
- (304) 872-1685
- NPI assigned
- Oct 4, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BP00942038 | WV | |
| Clinical Social Worker | 1041C0700X | AP00942038 | WV | |
| Clinical Social Worker | 1041C0700X | DP00942038 | WV | Primary |
Addresses
Primary practice location
131 Wellness Dr
Summersville, WV 26651-5402
Mailing address
131 Wellness Dr
Summersville, WV 26651-5402
Phone (304) 872-6503
Other practice location 1
704 3rd Ave
Marlinton, WV 24954-1142
Phone (304) 799-6865
Other practice location 2
70 Parcoal Rd # 71
Webster Springs, WV 26288-9767
Phone (304) 847-5425
Other practice location 3
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Phone (304) 497-0500
Other names 1
- Jessica Gale Pauley
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00942038 | WV | MD | Clinical Social Worker |
| DP00942038 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seneca Health Services 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Maxwelton, WV
- NPI 1245441609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1851643597",
"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": "131 WELLNESS DR",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266515402",
"telephone_number": "304-872-2659",
"fax_number": "304-872-1685"
}
],
"practiceLocations": [
{
"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 # 71",
"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"
},
{
"address_1": "804 Industrial Park Rd",
"address_purpose": "LOCATION",
"city": "Maxwelton",
"state": "WV",
"postal_code": "249578066",
"country_code": "US",
"telephone_number": "304-497-0500",
"fax_number": "304-497-0516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIELER",
"first_name": "JESSICA",
"middle_name": "G",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "BP00942038",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "AP00942038",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00942038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "PAULEY",
"middle_name": "GALE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.