Individual provider Active NPI

Jessica G Shieler, LSW

  • Clinical Social Worker
  • Summersville, WV
National Provider Identifier
1851643597
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00942038 Issued in WV
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

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
AP00942038WVMDClinical Social Worker
DP00942038WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.