Active NPI
Sheli Bernstein-Goff, MSW, LICSW
- Clinical Social Worker
- Huntington, WV
National Provider Identifier
1972673986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00940801
- Practice address
- 3135 16TH Street
Huntington, WV 25701-5247 - Phone
- (681) 404-6869
- Fax
- (681) 404-6871
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | DP00940801 | WV | Primary |
Addresses
Primary practice location
3135 16TH Street
Huntington, WV 25701-5247
Mailing address
207 Fairmont Avenue
Fairmont, WV 26554-2710
Phone (681) 404-6869
Other practice location 1
207 Fairmont Ave
Fairmont, WV 26554-2710
Phone (681) 404-6869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP00940801 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Counseling Center LLC | Clinical | Current | Accepting new patients |
Locations
207 Fairmont Ave
Fairmont, WV 26554
Phone (681) 404-6869
3135 16th Street Rd
Huntington, WV 25701
Phone (681) 404-6869
Organizations & group practices 1
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": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1972673986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 FAIRMONT AVENUE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542710",
"telephone_number": "681-404-6869",
"fax_number": "681-404-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3135 16TH STREET",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257015247",
"telephone_number": "681-404-6869",
"fax_number": "681-404-6871"
}
],
"practiceLocations": [
{
"address_1": "207 Fairmont Ave",
"address_purpose": "LOCATION",
"city": "Fairmont",
"state": "WV",
"postal_code": "265542710",
"country_code": "US",
"telephone_number": "681-404-6869",
"fax_number": "681-404-6871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNSTEIN-GOFF",
"first_name": "SHELI",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00940801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.