SQUARE ONE FAMILY NETWORKS CORP (NPI# 1013311133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013311133 |
| Entity Type | Organization |
| Organization Name | SQUARE ONE FAMILY NETWORKS CORP |
| Practice Address |
1708 Locust Ave Ste 201 Fairmont WV 26554-1332 |
| Practice Telephone | 3046947636 |
| Practice Fax Number | 8889772130 |
| Mailing Telephone | 3046947636 |
| Mailing Fax Number | 8889772130 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | JAYME DAWN DODD (OWNER, EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3046947636 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | AP00944042 | WV | Agencies |
| Street Address |
1708 LOCUST AVE STE 201 |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104228006 | Square One Family Networks Corp. | Early Intervention Provider Agency | 1708 Locust Ave Ste 201, Fairmont, WV 26554-1332 | 2014-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750785275 | We Care Home Care Agency LLC | Case Management | 23 Middletown Rd, Fairmont, WV 26554-8103 | 2014-10-13 |
| 1851708382 | Essential Needs Homecare | Case Management | 2019 Pleasant Valley Rd., Fairmont, WV 26554-9295 | 2014-07-16 |
| 1871869081 | Karrie Lynn Hamrick | Case Management | 10 Mountain Park Dr, Fairmont, WV 26554-8992 | 2012-04-02 |
| 1265703201 | The Dream Academy, Inc. | Case Management | 302 N Main St, Fairmont, NC 28340-1730 | 2012-01-23 |
| 1972810935 | Marion County Senior Citizens, Inc. | Case Management | 105 Maplewood Dr, Fairmont, WV 26554-2147 | 2010-09-10 |
| 1518287051 | Mountaineer Case Management | Case Management | 1445 Park Side Est, Fairmont, WV 26554-6109 | 2010-06-07 |
| 1063515021 | Monongahela Valley Association of Health Centers Inc | Case Management | 1322 Locust Ave, Fairmont, WV 26555-1112 | 2006-09-06 |
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| 1780222570 | Hometown Care LLC | Case Management | 12 S. Crim Avenue, Belington, WV 26250 | 2019-12-12 |
| 1679116255 | Anthony Dewayne Allen | Case Management | 6200 Maccorkle Ave, Saint Albans, WV 25177-2331 | 2019-10-25 |
| 1568904829 | Nicholas Community Action Partnership, Inc | Case Management | 1205 Broad Street, Summersville, WV 26651 | 2016-11-17 |
| 1902276603 | Medical Matters LLC | Case Management | 968 Ritter Dr, Beaver, WV 25813-9554 | 2015-10-07 |
| 1508260647 | Coalfield Community Action Partnership, Inc. (cm) | Case Management | 1626 W 3rd Ave, Williamson, WV 25661-3007 | 2014-10-17 |
| 1417368101 | All-aid International, Inc. | Case Management | 612 Virginia St E, Suite 202, Charleston, WV 25301-2175 | 2014-05-15 |
| 1689091647 | Pendleton Senior & Family Services, Inc | Case Management | 231 Mill Rd., Franklin, WV 26807 | 2014-03-27 |
| 1902223126 | All Care Home and Community Services, Inc. | Case Management | Rt 10 Old Itmann Gradeschool, Itmann, WV 24847 | 2014-03-26 |
| 1952649071 | Enact, Inc. | Case Management | 1701 5th Ave Ste 7, Charleston, WV 25387-1900 | 2013-01-24 |
| 1154673309 | Raleigh County Community Action Association | Case Management | 111 Willow Ln, Beckley, WV 25801-5521 | 2012-10-12 |
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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.