Jessica Joyce Queen, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BP00945935 Issued in WV

Practice address

610 1/2
Suite F
Point Pleasant, WV 25550-1121

Phone

(304) 812-5426

Fax

(304) 812-5427

NPI assigned

Sep 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Faith Healthcare and Healing, LLC

  • Community/Behavioral Health Agency
  • Point Pleasant, WV
  • NPI 1912748211
  NPD Authorized official
• Faith Healthcare and Healing LLC

  • Family Nurse Practitioner
  • Ripley, WV
  • NPI 1184377244
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1972119923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8674 BLACK OAK RD",
            "city": "FRAZIERS BOTTOM",
            "state": "WV",
            "postal_code": "250828009",
            "telephone_number": "304-812-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 1/2",
            "address_2": "SUITE F",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501121",
            "telephone_number": "304-812-5426",
            "fax_number": "304-812-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "JESSICA",
        "middle_name": "JOYCE",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00945935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF SOCIAL WORK",
            "identifier": "BP00945935",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pleasant Valley Orthopedics
• Pleasant Valley Radiology
• Pleasant View Professional Counseling, LLC
• Point Imaging Consultants Inc
• Bridget Sue Porter
• R.a Hanna, DDS Inc.
• Hamilton Keith Rake
• Diana Randolph, LICSW, LISW
• Kelly Randolph
• Taylor Ratliff

• Clinical Social Worker in Point Pleasant, WV
• Providers in Point Pleasant, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.