Alicia Wade

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

1007 Mary St
Parkersburg, WV 26101-5223

Phone

(304) 428-6344

NPI assigned

Aug 19, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• SW Resources, Inc

  • Substance Abuse Rehabilitation Facility
  • Parkersburg, WV
  • NPI 1811642390
  NPD
• SW Resources, Inc

  • Community/Behavioral Health Agency
  • Parkersburg, WV
  • NPI 1982810230
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1851903041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MARY ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015223",
            "telephone_number": "304-428-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MARY ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015223",
            "telephone_number": "304-428-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3747P1801X",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awade@swresources.com",
            "affiliation": "N",
            "address_1": "1007 Mary St",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melanie D Vogt-McCloy, FNP
• Carol Vonville
• James Voutour, RBA
• Joanne Vrabel, PHD
• Ryan Wachter
• Brittany A Wade
• Jessica Waggoner
• Jolina Waggoner
• Keith Waggoner, MD
• Myla Waggoner

• Day Training/Habilitation Specialist in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Day Training/Habilitation Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.