Josandra Defazio, LGSW in Bridgeport, WV - Medicare Clinical Social Worker Provider

Josandra Defazio, LGSW is a medicare enrolled "Social Worker - Clinical" provider in Bridgeport, West Virginia. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 65 Professional Pl Ste 102, Bridgeport, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 848-5770.

Josandra Defazio is licensed to practice in West Virginia (license number DP00946344) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1609598671.

Contact Information

	Josandra Defazio, LGSW
	65 Professional Pl Ste 102, Bridgeport, WV 26330-0259
	(304) 848-5770
	(304) 848-5477

Map and Direction

Healthcare Provider's Profile

Full Name	Josandra Defazio
Gender	Female
Speciality	Clinical Social Worker
Experience	4 Years
Location	65 Professional Pl Ste 102, Bridgeport, West Virginia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Josandra Defazio graduated from medical school in 2022

NPI Data:

NPI Number: 1609598671
Provider Enumeration Date: 09/15/2022
Last Update Date: 12/09/2025

Medicare PECOS Information:

PECOS PAC ID: 6709389224
Enrollment ID: I20250911002056

Medical Identifiers

Medical identifiers for Josandra Defazio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609598671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	DP00946344 (West Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Josandra Defazio is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Josandra Defazio, LGSW 65 Professional Pl Ste 102, Bridgeport, WV 26330-0259 Ph: (304) 848-5770	Josandra Defazio, LGSW 65 Professional Pl Ste 102, Bridgeport, WV 26330-0259 Ph: (304) 848-5770

Reviews and Comments

Social Worker in Bridgeport, WV

Ashley Erin Fizer, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Professional Pl Ste 101, Bridgeport, WV 26330 Phone: 304-513-3495
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
Adam Christopher Stonestreet, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Community Care Of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 Phone: 304-848-5770 Fax: 304-848-0890

Josandra Defazio, LGSW - Medicare Clinical Social Worker in Bridgeport, WV