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 | 101Y00000X | Counselor | | SW071915174 | WEST VIRGINIA | No |
| 2 | 101YM0800X | Counselor | Mental Health | SW071915174 | WEST VIRGINIA | No |
| 3 | 101YP2500X | Counselor | Professional | SW071915174 | WEST VIRGINIA | No |
| 4 | 1041C0700X | Social Worker | Clinical | SW071915174 | WEST VIRGINIA | No |
| 5 | 2080P0006X | Pediatrics | Developmental - Behavioral Pediatrics | SW071915174 | WEST VIRGINIA | No |
| 6 | 251S00000X | Community/Behavioral Health | | SW071915174 | WEST VIRGINIA | No |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | SW071915174 | WEST VIRGINIA | No |
| 8 | 104100000X | Social Worker | | SW071915174 | WEST VIRGINIA | Yes |