| Kelsey Marie Gross, LCSW | |
|
149 Staunton Dr, Weston, WV 26452-5604 | |
| (304) 269-5510 | |
| Not Available |
| Full Name | Kelsey Marie Gross |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 149 Staunton Dr, Weston, 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 |
|---|---|---|---|
| 1255053591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CP00944896 (West Virginia) | Primary |
| 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: 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: 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: 1275271611 PECOS PAC ID: 0648189258 Enrollment ID: O20230615000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Marie Gross, LCSW 149 Staunton Dr, Weston, WV 26452-5604 Ph: (304) 269-5510 | Kelsey Marie Gross, LCSW 149 Staunton Dr, Weston, WV 26452-5604 Ph: (304) 269-5510 |
Alexandra Michelle Moses, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 149 Staunton Dr, Weston, WV 26452 Phone: 304-269-5510 Fax: 304-269-2037 | |
Leah Kai Chen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Staunton Dr, Weston, WV 26452 Phone: 304-269-9510 |