Individual provider Active NPI

Stephanie Majetich

  • Clinical Social Worker
  • Charleston, WV
National Provider Identifier
1962833061
Registry record updated Nov 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BP00944315 Issued in WV
Practice address
1418 Maccorkle Ave SW Ste a
Charleston, WV 25303-1331
Phone
(304) 348-1268
Fax
(304) 348-1017
NPI assigned
Nov 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2013

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 BP00944315 WV Primary

Addresses

Primary practice location

1418 Maccorkle Ave SW Ste a
Charleston, WV 25303-1331

Mailing address

1418 Maccorkle Ave SW Ste a
Charleston, WV 25303-1331
Phone (304) 348-1268

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
BP00944315WVMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385683200000",
    "number": "1962833061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 MACCORKLE AVE SW STE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253031331",
            "telephone_number": "304-348-1268",
            "fax_number": "304-348-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MACCORKLE AVE SW STE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253031331",
            "telephone_number": "304-348-1268",
            "fax_number": "304-348-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJETICH",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-29",
        "last_updated": "2013-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00944315",
            "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 Nov 29, 2013; 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.