KENNETH DOUGLAS STOREY MSW NPI 1578905196

NPI Information

NPI: 1578905196
Provider Name: KENNETH DOUGLAS STOREY, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1021 QUARRIER ST
SUITE 414
CHARLESTON, WV
ZIP 25301
Phone: (304) 340-3676
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Kenneth Douglas Storey, MSW is a mental health counselor in Charleston, WV. Kenneth Douglas Storey, MSW NPI is 1578905196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1021 QUARRIER ST
SUITE 414
CHARLESTON, WV
ZIP 25301-338
Phone: (304) 340-3676
Fax: (304) 340-3688

The enumeration date for this NPI number is 7/24/2013 and was last updated on 7/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		BP00944133	WEST VIRGINIA	No
2	101YM0800X	Counselor	Mental Health	BP00944133	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0023815000	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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