Healthcare Provider Details

I. General information

NPI: 1275318370
Provider Name (Legal Business Name): VALERY LYNNE STASKEY TSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 MAIN ST STE 104
WHEELING WV
26003-2737
US

IV. Provider business mailing address

3504 WOOD ST
WHEELING WV
26003-1928
US

V. Phone/Fax

Practice location:
  • Phone: 304-460-5123
  • Fax: 800-734-8498
Mailing address:
  • Phone: 304-280-1930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberBP00946828
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW082316739
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: