HEATHER ANNE RADCLIFFE (NPI# 1649539396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649539396 |
| Entity Type | Individual |
| Full Name | HEATHER ANNE RADCLIFFE |
| Credential | LICSW ACSW |
| Practice Address |
65 Professional Pl Ste 102103 Bridgeport WV 26330-0258 |
| Practice Telephone | 3048485770 |
| Practice Fax Number | 3048480980 |
| Mailing Telephone | 3048485770 |
| Mailing Fax Number | 3048480980 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
DP00941015 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1649539396 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1512 Dawn Dr # 2, Fairmont, WV 265549246 | 3046571473 | 3042127731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861629362 | Heather Radcliffe | Counselor | 5676 Riverdale Ave, Bronx, NY 10471-2138 | 2009-06-11 |
| Street Address |
65 PROFESSIONAL PL STE 102103 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-0258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003897497 | Joshua Steven Baker | Physician Assistant | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2005-11-11 |
| 1235774837 | Melissa Dawn Swann Gerau | Social Worker | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2019-11-07 |
| 1457917064 | Dietra Savage | Nurse Practitioner | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2019-05-20 |
| 1245719996 | James Arthur Dunbar IIi | Social Worker | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2018-08-13 |
| 1770080186 | Liam Patrick Condon | Psychologist | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2018-04-11 |
| 1720444854 | Rebecca Marie Shriver | Social Worker | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2016-01-05 |
| 1639541790 | Tracey Lee Sherman | Physician Assistant | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2015-10-28 |
| 1619348844 | Community Care of West Virginia, Inc. | Clinic/Center | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2015-10-14 |
| 1992057277 | Mark Scott | Psychiatry & Neurology | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2012-10-10 |
| 1609047109 | Kelly W Dunavant | Family Medicine | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2008-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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|---|---|---|---|---|
| 1477163400 | Christine Rene Meredith | Social Worker | 505 Hovey St, Bridgeport, TX 76426-2923 | 2020-08-04 |
| 1225647597 | Synaptic Communications | Social Worker | 73 Seaside Ave, Bridgeport, CT 06605-3540 | 2020-07-23 |
| 1548878192 | Theresa Manuel | Social Worker | 325 Lafayette St Unit 3105, Bridgeport, CT 06604-5475 | 2020-07-20 |
| 1396306015 | Shanika Rucker | Social Worker | 1000 Lafayette Blvd Ste 1105, Bridgeport, CT 06604-4725 | 2019-06-24 |
| 1780147322 | Rashanee Green-younger | Social Worker | 53 Louisiana Ave, Bridgeport, CT 06610-1542 | 2019-04-10 |
| 1396230801 | Victoria Zoeller | Social Worker | 140 John St, Bridgeport, CT 06604-4323 | 2018-06-27 |
| 1396252276 | Marriott Lpc | Social Worker | 3715 Main St Ste 402, Bridgeport, CT 06606-3611 | 2018-01-02 |
| 1477068203 | Tonisha Keon Cohen-king | Social Worker | 957 Evers Street Ext, Bridgeport, CT 06610-1261 | 2017-12-01 |
| 1073027322 | Cristine Connor | Social Worker | 154 Glenbrook Rd, Bridgeport, CT 06610-1149 | 2017-11-23 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.