MRS. AUDREY ALCALA LUTZ (NPI# 1316502131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316502131 |
| Entity Type | Individual |
| Full Name | MRS. AUDREY ALCALA LUTZ |
| Credential | MSW, LICSW |
| Practice Address |
3000 Coombs Farm Rd Ste 102 Morgantown WV 26508-1190 |
| Practice Telephone | 3047770650 |
| Mailing Telephone | 3047770650 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
DP00944325 | WV | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
BP00944325 | WV | Behavioral Health & Social Service Providers |
| Street Address |
3000 COOMBS FARM RD STE 102 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-1190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457479875 | Cassie Lynn Hornbeck Maxwell | Psychologist | 3000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1190 | 2007-03-26 |
| 1336785864 | Jasmine Lewis Pritts | Social Worker | 3000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1190 | 2019-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986893 | Jenna Renee Mosely Lohnes | Social Worker | 3600 Collins Ferry Rd, Morgantown, WV 26505-2378 | 2020-06-12 |
| 1497384812 | Neal Allen Newfield | Social Worker | 1063 Maple Dr # 1, Morgantown, WV 26505-0387 | 2020-04-07 |
| 1780219782 | Kristina Michelle Hash | Social Worker | 451 Ash St, Morgantown, WV 26501-6667 | 2020-03-10 |
| 1841832508 | Tiana Jacquelin Lasporgara | Social Worker | 235 High St Ste 311, Morgantown, WV 26505-5455 | 2019-10-15 |
| 1134658990 | Andraa Rosenberger | Social Worker | 1111 Van Voorhis Rd Ste J, Morgantown, WV 26505-2737 | 2017-06-06 |
| 1295260099 | Michelle Lewis | Social Worker | 1762 Blue Horizon Dr, Morgantown, WV 26501-2280 | 2017-04-29 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1417318551 | Augusta Wellness, LLC | Social Worker | 425 Industrial Ave, Morgantown, WV 26505-0347 | 2016-03-17 |
| 1235598079 | Valerie Stansberry, Ms, Lpc, Crc, LLC | Social Worker | 709 Beechurst Ave Ste 14b, Morgantown, WV 26505-4689 | 2016-02-22 |
| 1497128417 | Alissa Gren | Social Worker | 238 High Street, Ste 110, Morgantown, WV 26505 | 2015-11-13 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
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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.