MR. DUSTIN JAY LAWRENCE BALDWIN MSW, LCSW
NPI 1144377557
Social Worker - Clinical in Grafton, WV

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL PLZ, GRAFTON, WV 26354(304) 265-0400 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2026, Mar 22, 2016 (2 updates tracked since 2016).

About Mr. Dustin Jay Lawrence Baldwin Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DUSTIN JAY LAWRENCE BALDWIN MSW, LCSW (NPI 1144377557) is an individual clinical provider in Grafton, West Virginia, licensed in West Virginia (DP00942707) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1144377557
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DUSTIN JAY LAWRENCE BALDWINCredential: MSW, LCSW
Location Address1 HOSPITAL PLZGrafton, WV 26354-1283
Mailing Address1 Hospital PlzGrafton, WV 26354-1283 · (304) 265-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1144377557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WV · DP00942707✔ Licensed in OR · L5140
Definition
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.
1 HOSPITAL PLZ, Grafton, WV 26354

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Dustin Jay Lawrence Baldwin Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022172329
PECOS Enrollment IDI20230619001103
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Dustin Baldwin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1 HOSPITAL PLZ
Grafton, WV 26354
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1265484893 (West Virginia)
  • 28 clinicians in this Medicare group
Clinical
302 CEDAR RIDGE RD
Sissonville, WV 25320
  • Reassigned Medicare billing, West Virginia enrollment
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, West Virginia enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.20 – $164.59
Typical copayment $0.00 (range $13.30 – $41.14)
Most-billed visit code NA
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1 HOSPITAL PLZ
GRAFTON, WV 26354
General Practice
1 HOSPITAL PLZ
GRAFTON, WV 26354
Physician Assistant (Medical)
1 HOSPITAL PLZ
GRAFTON, WV 26354
Physician Assistant
1 HOSPITAL PLZ
GRAFTON, WV 26354
General Acute Care Hospital (Critical Access)
1 HOSPITAL PLZ
GRAFTON, WV 26354
Orthopaedic Surgery
1 HOSPITAL PLZ
GRAFTON, WV 26354
Family Medicine
1 HOSPITAL PLZ
GRAFTON, WV 26354
Physician Assistant
1 HOSPITAL PLZ
GRAFTON, WV 26354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Baldwin's NPI number?

The NPI number for Dustin Baldwin is 1144377557. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Dustin Baldwin located?

Dustin Baldwin practices at 1 Hospital Plz, Grafton, WV 26354. The listed phone number is (304) 265-0400.

What is Dustin Baldwin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Dustin Baldwin enrolled in Medicare?

Yes. Dustin Baldwin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dustin Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Baldwin reassigns Medicare benefits to 3 organizations: Grafton City Hospital Inc (Grafton, WV), Mpac Mental Health West Virginia PLLC (Sissonville, WV) and Midwest Post Acute Care PLLC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dustin Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dustin Baldwin accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Dustin Baldwin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dustin Baldwin was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.