Active NPI
Diane Y Woolverton, MA LPC
- Social Worker
- Charleston, WV
National Provider Identifier
1861419376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- AP00941471
- Practice address
- 1418 A Maccorkle Ave SW
Charleston, WV 25303 - Phone
- (304) 348-1288
- Fax
- (304) 348-1262
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1522 | WV | |
| Social Worker | 104100000X | AP00941471 | WV | Primary |
Addresses
Primary practice location
1418 A Maccorkle Ave SW
Charleston, WV 25303
Mailing address
PO Box 4009
Charleston, WV 25364-4009
Phone (304) 348-1288
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1522 | WV | MD | Professional Counselor |
| AP00941471 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1861419376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4009",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253644009",
"telephone_number": "304-348-1288",
"fax_number": "304-348-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 A MACCORKLE AVE SW",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25303",
"telephone_number": "304-348-1288",
"fax_number": "304-348-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLVERTON",
"first_name": "DIANE",
"middle_name": "Y",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "1522",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "AP00941471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.