Search › West Virginia › 104100000X
Jerrica Staten, LGSW
NPI 1477232957 · on the registry since 2023 · sole proprietor
Practice
- Address
- 120 Professional Pl
Bridgeport, WV 26330 - Phone
- (304) 460-5123
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia