NPIMap

Individual provider Active NPI

Vicki Dianne Lemine, LICSW

  • Clinical Social Worker
  • Morgantown, WV
National Provider Identifier
1871804161
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00452261 Issued in WV
Practice address
1063 Maple Dr
Suite 4 B
Morgantown, WV 26505-2848
Phone
(304) 276-8261
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X DP00452261 WV Primary

Addresses

Primary practice location

1063 Maple Dr
Suite 4 B
Morgantown, WV 26505-2848

Mailing address

714 Venture Dr
#218
Morgantown, WV 26508-7306
Phone (304) 276-8261

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

State licenses

LicenseStateTypeSpecialty
DP00452261WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Apo Counseling, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vickilemine@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1871804161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 VENTURE DR",
            "address_2": "#218",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265087306",
            "telephone_number": "304-276-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 MAPLE DR",
            "address_2": "SUITE 4 B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052848",
            "telephone_number": "304-276-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMINE",
        "first_name": "VICKI",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00452261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.