Active NPI
Lindsay Ann Kwiatkowski, LICSW
- Clinical Social Worker
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00943089
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023817001 | Medicaid | WV |
Other names 1
- Ms. Lindsay Ann Fox
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP00943089 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GR&W, Inc | Current | Accepting new patients | |
| Eastern Panhandle Mental Health Center (Group) | Past | Accepting new patients | |
| GR&W, Inc | Past | 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.
-
- Clinical Neuropsychologist
- Morgantown, WV
- NPI 1407192024
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1528488012
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgantown, WV
- NPI 1992665723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.