| Gr&w, Inc | |
|
1005 White Willow Way Morgantown WV 26505-6119 | |
| (304) 460-5123 | |
| (800) 734-8498 |
| Full Name | Gr&w, Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1005 White Willow Way, Morgantown, West Virginia |
| Authorized Official Name and Position | Ryan J Wakim (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3042807337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gr&w, Inc 1005 White Willow Way Morgantown WV 26505-6119 Ph: (304) 460-5123 | Gr&w, Inc 1005 White Willow Way Morgantown WV 26505-6119 Ph: (304) 460-5123 |
| NPI Number | 1407192024 |
|---|---|
| Provider Enumeration Date | 12/31/2012 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Medicare PECOS PAC ID | 9739324922 |
|---|---|
| Medicare Enrollment ID | O20130315000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407192024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Betty L Edmundson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174531073 PECOS PAC ID: 3870582950 Enrollment ID: I20040512000719 |
| Provider Name | Cheri A Taggart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063583888 PECOS PAC ID: 9133103799 Enrollment ID: I20040614000674 |
| Provider Name | Victor F Nease |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700831005 PECOS PAC ID: 1658349303 Enrollment ID: I20040921000004 |
| Provider Name | Lindsay Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871742221 PECOS PAC ID: 1052460425 Enrollment ID: I20090514000567 |
| Provider Name | Stephanie Hurst |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114224169 PECOS PAC ID: 0749234607 Enrollment ID: I20120123000834 |
| Provider Name | Scott A Gilchrist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255656468 PECOS PAC ID: 6800054065 Enrollment ID: I20120221000012 |
| Provider Name | Ryan Wakim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093033789 PECOS PAC ID: 3375702731 Enrollment ID: I20120306000019 |
| Provider Name | Heather A Radcliffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649539396 PECOS PAC ID: 1951557115 Enrollment ID: I20120803000706 |
| Provider Name | Lisa C Paul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891065371 PECOS PAC ID: 8527215896 Enrollment ID: I20120822000349 |
| Provider Name | Jeffrey Richmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831414507 PECOS PAC ID: 4981855483 Enrollment ID: I20121109000341 |
| Provider Name | Margaret E Williams-baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699021063 PECOS PAC ID: 7719138130 Enrollment ID: I20121113000291 |
| Provider Name | Jennifer L Kotsanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427495639 PECOS PAC ID: 9234379355 Enrollment ID: I20130712000111 |
| Provider Name | Richard C Geary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033409552 PECOS PAC ID: 8325281488 Enrollment ID: I20130821000748 |
| Provider Name | Zachary Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316370992 PECOS PAC ID: 8022243930 Enrollment ID: I20131031000937 |
| Provider Name | Aisha Reikow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699196527 PECOS PAC ID: 6507099728 Enrollment ID: I20140423002002 |
| Provider Name | Faye A Swiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891115200 PECOS PAC ID: 4688899412 Enrollment ID: I20140710000891 |
| Provider Name | Dennelle Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932377827 PECOS PAC ID: 0244552073 Enrollment ID: I20141206000205 |
| Provider Name | Erica Diane Gunnoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740524875 PECOS PAC ID: 1658695408 Enrollment ID: I20150127000195 |
| Provider Name | Stephanie M Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508227133 PECOS PAC ID: 9436456761 Enrollment ID: I20160331000138 |
| Provider Name | Margaret Jane Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427401561 PECOS PAC ID: 3173818721 Enrollment ID: I20160823000316 |
| Provider Name | Jeremy Dale Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164970570 PECOS PAC ID: 7214216282 Enrollment ID: I20161115000706 |
| Provider Name | Caitlin Teeter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467875443 PECOS PAC ID: 6305113069 Enrollment ID: I20170531000325 |
| Provider Name | Megan Loy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548786874 PECOS PAC ID: 3476828559 Enrollment ID: I20170929002455 |
| Provider Name | Brian Hardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417470824 PECOS PAC ID: 3779858907 Enrollment ID: I20171013001429 |
| Provider Name | Carley Jo Elswick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073862363 PECOS PAC ID: 9436301165 Enrollment ID: I20180212002719 |
| Provider Name | Rekai D Withrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871098343 PECOS PAC ID: 3072868272 Enrollment ID: I20180612000350 |
| Provider Name | Alicia N Costabile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235607524 PECOS PAC ID: 9436497310 Enrollment ID: I20190219002928 |
| Provider Name | Sheena Dohar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144618414 PECOS PAC ID: 9234432667 Enrollment ID: I20190319001641 |
| Provider Name | Daisy L Culverhouse-perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740759299 PECOS PAC ID: 8224371935 Enrollment ID: I20190521002327 |
| Provider Name | Amy Elizabeth Gutshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750934816 PECOS PAC ID: 4082942271 Enrollment ID: I20190827000055 |
| Provider Name | Lindsey Ciera Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821646019 PECOS PAC ID: 2163854118 Enrollment ID: I20191113002971 |
| Provider Name | Linda S Bonnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821082538 PECOS PAC ID: 5294863304 Enrollment ID: I20200812003009 |
| Provider Name | Ellen Rose Gricewich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346581352 PECOS PAC ID: 3375950850 Enrollment ID: I20210330000137 |
| Provider Name | Veronica L Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992253819 PECOS PAC ID: 7113316795 Enrollment ID: I20211120000299 |
| Provider Name | Christopher Easton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629785175 PECOS PAC ID: 0042680480 Enrollment ID: I20221230000126 |
| Provider Name | Andrea J Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851952493 PECOS PAC ID: 0648641746 Enrollment ID: I20230128000087 |
| Provider Name | Sarah Elizabeth Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285364935 PECOS PAC ID: 5799159489 Enrollment ID: I20230320002949 |
| Provider Name | Jennifer Wiener Hartzell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578988309 PECOS PAC ID: 9830317007 Enrollment ID: I20230505000503 |
| Provider Name | Jill Nicole Strasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083959803 PECOS PAC ID: 1456718493 Enrollment ID: I20230606002237 |
| Provider Name | Sarah Marie Mahajan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497373658 PECOS PAC ID: 2163880618 Enrollment ID: I20230615002255 |
| Provider Name | Molly Samalio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508509852 PECOS PAC ID: 1951762517 Enrollment ID: I20230728001221 |
| Provider Name | Janine E Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669759320 PECOS PAC ID: 2264714468 Enrollment ID: I20230831004852 |
| Provider Name | Kimberly Erin Hotlosz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073993234 PECOS PAC ID: 9335599927 Enrollment ID: I20231222000018 |
| Provider Name | Denise Noel Ammons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962569491 PECOS PAC ID: 8325365232 Enrollment ID: I20231226001699 |
| Provider Name | Julie Renay Fields |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1053876870 PECOS PAC ID: 1557712403 Enrollment ID: I20240104004547 |
| Provider Name | Madison Mazza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003432766 PECOS PAC ID: 4082061999 Enrollment ID: I20240105000532 |
| Provider Name | Laurel Faulkenberry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386828580 PECOS PAC ID: 7719334606 Enrollment ID: I20240105000896 |
| Provider Name | Mary Elizabeth Connolly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588318372 PECOS PAC ID: 0941657985 Enrollment ID: I20240105001558 |
| Provider Name | Kirsten Joan Coombs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306415963 PECOS PAC ID: 3173970985 Enrollment ID: I20240105002937 |
| Provider Name | Kimberly Ann Downey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083139141 PECOS PAC ID: 2567819451 Enrollment ID: I20240105003140 |
| Provider Name | Lisa Ann Steffich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538761051 PECOS PAC ID: 4486005519 Enrollment ID: I20240112001990 |
| Provider Name | William Richard Coburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679576532 PECOS PAC ID: 4183075898 Enrollment ID: I20240112003941 |
| Provider Name | Elizabeth Michelle Fizer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134137904 PECOS PAC ID: 5890147698 Enrollment ID: I20240117002685 |
| Provider Name | Kacey Nowlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558789172 PECOS PAC ID: 8628420056 Enrollment ID: I20240122000617 |
| Provider Name | Wendy Pruett Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962912410 PECOS PAC ID: 9032562657 Enrollment ID: I20240131001391 |
| Provider Name | Katy Schoen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922674233 PECOS PAC ID: 4981047248 Enrollment ID: I20240205000499 |
| Provider Name | Kendyl A Kimberly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174055016 PECOS PAC ID: 6406299668 Enrollment ID: I20240205004138 |
| Provider Name | Dana L Mcmaster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952413056 PECOS PAC ID: 4688923238 Enrollment ID: I20240212001498 |
| Provider Name | Scott Michael Slaughter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225890411 PECOS PAC ID: 8729424098 Enrollment ID: I20240308000883 |
| Provider Name | Patrick Sean Mclaughlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861178485 PECOS PAC ID: 0648616607 Enrollment ID: I20240312003972 |
| Provider Name | Michelle Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750017604 PECOS PAC ID: 6507203197 Enrollment ID: I20240319000431 |
| Provider Name | Eric C Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699546408 PECOS PAC ID: 4385081926 Enrollment ID: I20240319002064 |
| Provider Name | Robyn Namendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639945595 PECOS PAC ID: 2668810870 Enrollment ID: I20240408001762 |
| Provider Name | Mary Deane Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942980339 PECOS PAC ID: 5496193369 Enrollment ID: I20240411000223 |
| Provider Name | Sarah E. Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447884028 PECOS PAC ID: 2264872472 Enrollment ID: I20240503002109 |
| Provider Name | Solange Fechwi Adangwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891051025 PECOS PAC ID: 4587032438 Enrollment ID: I20240507003459 |
| Provider Name | Eli Bresock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801561998 PECOS PAC ID: 0648611095 Enrollment ID: I20240515004548 |
| Provider Name | Emily Finomore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467997098 PECOS PAC ID: 3274974522 Enrollment ID: I20240516004174 |
| Provider Name | Craig Haagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427816040 PECOS PAC ID: 0446692602 Enrollment ID: I20240521000347 |
| Provider Name | Meredith F Oppenheimer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033819917 PECOS PAC ID: 7214384239 Enrollment ID: I20240613000383 |
| Provider Name | Mckayla Nicole Stevens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912588922 PECOS PAC ID: 0840734075 Enrollment ID: I20240628002478 |
| Provider Name | Heather Marie Bragg Milam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669896304 PECOS PAC ID: 8820534795 Enrollment ID: I20240726003642 |
| Provider Name | Randy S Glasscock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740032960 PECOS PAC ID: 4385180124 Enrollment ID: I20240729001655 |
| Provider Name | Rebecca Marie Shriver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720444854 PECOS PAC ID: 1951847706 Enrollment ID: I20240729002368 |
| Provider Name | Nichole Susan Fridley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497480172 PECOS PAC ID: 4284171463 Enrollment ID: I20240806001197 |
| Provider Name | Richard Lee Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376392225 PECOS PAC ID: 4385181247 Enrollment ID: I20240808004802 |
| Provider Name | Fatimah A Saleem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386104420 PECOS PAC ID: 2062844269 Enrollment ID: I20240821000000 |
| Provider Name | Aaron David Kaplansky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366109951 PECOS PAC ID: 0941749592 Enrollment ID: I20240827001667 |
| Provider Name | Kathryn Black |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336672724 PECOS PAC ID: 5092255968 Enrollment ID: I20240905003779 |
| Provider Name | Taylor Nichole Overholt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700659208 PECOS PAC ID: 9133660905 Enrollment ID: I20240919002839 |
| Provider Name | Peter David Dinardi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770343857 PECOS PAC ID: 7315488061 Enrollment ID: I20240920002073 |
| Provider Name | Madison Leigh Barry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548917453 PECOS PAC ID: 6507307006 Enrollment ID: I20240924004193 |
| Provider Name | Karin M Escalante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811122286 PECOS PAC ID: 2264846070 Enrollment ID: I20240926003405 |
| Provider Name | Allison O'konski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891462594 PECOS PAC ID: 2860923307 Enrollment ID: I20241008001780 |
| Provider Name | Frida Selenou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538913835 PECOS PAC ID: 5395277800 Enrollment ID: I20241022000809 |
| Provider Name | Valerie Kay Nichols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699502047 PECOS PAC ID: 2365975570 Enrollment ID: I20241026000208 |
| Provider Name | Sharon Elaine Mckinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720712995 PECOS PAC ID: 8628502168 Enrollment ID: I20241106003911 |
| Provider Name | Erica Graham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255943759 PECOS PAC ID: 3678924438 Enrollment ID: I20241118001780 |
| Provider Name | Linda Shirley Combs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467135525 PECOS PAC ID: 1759816333 Enrollment ID: I20241119002897 |
| Provider Name | Samantha Dawn Bolyard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588389738 PECOS PAC ID: 9032647805 Enrollment ID: I20250107001688 |
| Provider Name | Jeanel Lynn Franklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841922861 PECOS PAC ID: 4284164534 Enrollment ID: I20250217000198 |
| Provider Name | Brittany Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942980420 PECOS PAC ID: 1153842273 Enrollment ID: I20250305003179 |
| Provider Name | Tessa Marie Drozdowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720719917 PECOS PAC ID: 4486176526 Enrollment ID: I20250319000448 |
| Provider Name | Lillian Cecile Gebert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093101180 PECOS PAC ID: 1254871585 Enrollment ID: I20250403001374 |
| Provider Name | Daniel T Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477991164 PECOS PAC ID: 4789939026 Enrollment ID: I20250519001660 |
| Provider Name | Kylea Hauser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760137145 PECOS PAC ID: 2264941558 Enrollment ID: I20250529002978 |
| Provider Name | Lilian Yeba Adamu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174106991 PECOS PAC ID: 1153729520 Enrollment ID: I20250609002550 |
Trailhead Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Strawberry Ln, Morgantown, WV 26501 Phone: 304-758-3552 | |
Soulmosaic, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Scott Ave Ste 4, Morgantown, WV 26508 Phone: 304-685-8967 | |
Monongalia County General Hospital Company Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Mon Health Medical Park Dr Ste 1103, Morgantown, WV 26505 Phone: 304-285-3835 | |
West Virginia University Hospitals, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Collins Ferry Rd, Morgantown, WV 26505 Phone: 304-598-6429 | |
Noah Medical Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1400 Saratoga Ave, Morgantown, WV 26505 Phone: 304-599-1680 | |
Winding Way Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Park Ridge Dr, Morgantown, WV 26508 Phone: 304-692-1131 | |
Monongalia County Child Advocacy Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Greenbag Rd, Morgantown, WV 26508 Phone: 304-598-0344 Fax: 304-598-0558 |