Active NPI
Judy A Kesterson, LSW
- Social Worker
- Weirton, WV
National Provider Identifier
1902067903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- AP00940005
- Practice address
- 501 Colliers Way
Weirton, WV 26062-5003 - Phone
- (304) 723-5440
- Fax
- (304) 723-0665
- NPI assigned
- Jun 23, 2008
- Last updated
- Jun 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | AP00940005 | WV | Primary |
Addresses
Primary practice location
501 Colliers Way
Weirton, WV 26062-5003
Mailing address
501 Colliers Way
Weirton, WV 26062-5003
Phone (304) 723-5440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005456001 | Medicaid | WV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP00940005 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1902067903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 COLLIERS WAY",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625003",
"telephone_number": "304-723-5440",
"fax_number": "304-723-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 COLLIERS WAY",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625003",
"telephone_number": "304-723-5440",
"fax_number": "304-723-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESTERSON",
"first_name": "JUDY",
"middle_name": "A",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "AP00940005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005456001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.