Healthcare Provider Details

I. General information

NPI: 1144999046
Provider Name (Legal Business Name): JANA M. CIPRIANI LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2021
Last Update Date: 11/17/2022
Certification Date: 11/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3136 WEST ST
WEIRTON WV
26062-4637
US

IV. Provider business mailing address

3136 WEST ST
WEIRTON WV
26062-4637
US

V. Phone/Fax

Practice location:
  • Phone: 304-748-2828
  • Fax:
Mailing address:
  • Phone: 304-748-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberBP00943756
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: