| Heather Anne Radcliffe, LICSW ACSW | |
|
65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | |
| (304) 848-5770 | |
| (304) 848-0980 |
| Full Name | Heather Anne Radcliffe |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 65 Professional Pl Ste 102103, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649539396 | NPI | - | NPPES |
| 1649539396 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00941015 (West Virginia) | Primary |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609042266 PECOS PAC ID: 0446232987 Enrollment ID: O20040607001043 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104175058 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000494 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396096863 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000634 |
| Entity Name | Gr&w Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407192024 PECOS PAC ID: 9739324922 Enrollment ID: O20130315000456 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770917577 PECOS PAC ID: 0446232987 Enrollment ID: O20131219001230 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073944658 PECOS PAC ID: 0446232987 Enrollment ID: O20140320000490 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053742668 PECOS PAC ID: 0446232987 Enrollment ID: O20140513002114 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790110047 PECOS PAC ID: 0446232987 Enrollment ID: O20140603002111 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447699723 PECOS PAC ID: 0446232987 Enrollment ID: O20140603002245 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063808418 PECOS PAC ID: 0446232987 Enrollment ID: O20150911002252 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346636792 PECOS PAC ID: 0446232987 Enrollment ID: O20150911002429 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194111468 PECOS PAC ID: 0446232987 Enrollment ID: O20150914000755 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164809802 PECOS PAC ID: 0446232987 Enrollment ID: O20150914001122 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851787121 PECOS PAC ID: 0446232987 Enrollment ID: O20151202000130 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619348844 PECOS PAC ID: 0446232987 Enrollment ID: O20160310000180 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841666807 PECOS PAC ID: 0446232987 Enrollment ID: O20160325000736 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104292168 PECOS PAC ID: 0446232987 Enrollment ID: O20160328000984 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851767818 PECOS PAC ID: 0446232987 Enrollment ID: O20160329001984 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043686553 PECOS PAC ID: 0446232987 Enrollment ID: O20160405001506 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609386978 PECOS PAC ID: 0446232987 Enrollment ID: O20180116000199 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962912261 PECOS PAC ID: 0446232987 Enrollment ID: O20180301000775 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871003178 PECOS PAC ID: 0446232987 Enrollment ID: O20180321000951 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053821363 PECOS PAC ID: 0446232987 Enrollment ID: O20180327000944 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750892188 PECOS PAC ID: 0446232987 Enrollment ID: O20180423000929 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619464369 PECOS PAC ID: 0446232987 Enrollment ID: O20180808001012 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063048189 PECOS PAC ID: 0446232987 Enrollment ID: O20201111000338 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144811290 PECOS PAC ID: 0446232987 Enrollment ID: O20210331002097 |
| Entity Name | Community Care Of West Virginia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275271611 PECOS PAC ID: 0648189258 Enrollment ID: O20230615000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Anne Radcliffe, LICSW ACSW 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 Ph: (304) 848-5770 | Heather Anne Radcliffe, LICSW ACSW 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 Ph: (304) 848-5770 |
Cassidy Brooke Tolley, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 65 Professional Pl Ste 102103, Bridgeport, WV 26330 Phone: 304-992-9492 | |
Lilburn H Garrison Ii, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 243 W Main St, Bridgeport, WV 26330 Phone: 304-842-8852 Fax: 304-842-8853 | |
Brandi Robinson, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 65 Professional Pl Ste 102, Bridgeport, WV 26330 Phone: 304-848-5770 | |
Danielle Marie Ludwick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 37 Grande Meadows Dr Ste 203, Bridgeport, WV 26330 Phone: 304-592-3538 | |
Ms. Alyssa Vougas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 65 Professional Pl Ste 102103, Bridgeport, WV 26330 Phone: 304-848-5770 | |
Dr. James Arthur Dunbar Iii, MSW; PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Professional Pl Ste 102103, Bridgeport, WV 26330 Phone: 304-848-5770 Fax: 304-848-0890 | |
Mirrandia Young, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 570 Sidetrack Rd, Bridgeport, WV 26330 Phone: 304-646-6630 |