Individual provider Active NPI

Lindsay Ann Kwiatkowski, LICSW

  • Clinical Social Worker
  • Martinsburg, WV
National Provider Identifier
1871742221
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00943089 Issued in WV
Practice address
235 South Water Street
Martinsburg, WV 25401-0000
Phone
(304) 263-8954
Fax
(304) 263-8141
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CP00943089 WV
Clinical Social Worker 1041C0700X DP00943089 WV Primary

Addresses

Primary practice location

235 South Water Street
Martinsburg, WV 25401-0000

Mailing address

235 South Water Street
Martinsburg, WV 25401-0000
Phone (304) 263-8954

Other identifiers 1

IdentifierTypeStateIssuer
0023817001MedicaidWV

Other names 1

  • Ms. Lindsay Ann Fox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090514000567 WV Practitioner - Clinical Social Worker 1052460425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grandw IncGroup PAC ID 9739324922, 93 clinicians

Practice addresses (Care Compare)

400 Foxcroft Ave
Martinsburg, WV 25401-5302
Phone (304) 560-5123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP00943089WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GR&W, Inc CurrentSince Aug 16, 2024 Accepting new patients
Eastern Panhandle Mental Health Center (Group) Past Accepting new patients
GR&W, Inc PastSince Nov 18, 2025 Accepting new patients

Locations

400 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 443-1408

400 Foxcroft Ave
Ste 104
Martinsburg, WV 25401
Phone (304) 513-3495

1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 443-1414

Organizations & group practices 3

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1871742221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SOUTH WATER STREET",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254010000",
            "telephone_number": "304-263-8954",
            "fax_number": "304-263-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SOUTH WATER STREET",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254010000",
            "telephone_number": "304-263-8954",
            "fax_number": "304-263-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIATKOWSKI",
        "first_name": "LINDSAY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "CP00943089",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00943089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023817001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "FOX",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.