KATHY LYNN BALDWIN LGSW
NPI 1174775563
Social Worker - Clinical in Martinsburg, WV

Active since October 16, 2008PECOS EnrolledAccepts Medicare Assignment
235 S WATER ST, MARTINSBURG, WV 25401(304) 263-8954(304) 263-8141 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathy Lynn Baldwin Lgsw NPPES

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

KATHY LYNN BALDWIN LGSW (NPI 1174775563) is an individual clinical provider in Martinsburg, West Virginia, licensed in West Virginia (BP00943197) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2008).

NPPES Registry Identity

NPI1174775563
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHY LYNN BALDWINCredential: LGSW
Location Address235 S WATER STMartinsburg, WV 25401-4241
Mailing Address235 S Water StMartinsburg, WV 25401-4241 · (304) 263-8954 · Fax (304) 263-8141
Fax(304) 263-8141
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2008
Enumeration DateOctober 16, 2008
Last NPPES UpdateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
NPI 1174775563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WV · BP00943197
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.
235 S WATER ST, Martinsburg, WV 25401

Other Identifiers 1

Medicaid1427197748WV

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathy Lynn Baldwin Lgsw 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 ID9830345362
PECOS Enrollment IDI20120815000664
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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.

Peer Specialist
235 S WATER ST
MARTINSBURG, WV 25401
Nurse Practitioner (Psychiatric/Mental Health)
235 S WATER ST
MARTINSBURG, WV 25401
Peer Specialist
235 S WATER ST
MARTINSBURG, WV 25401
Social Worker
235 S WATER ST
MARTINSBURG, WV 25401
Community Health Worker
235 S WATER ST
MARTINSBURG, WV 25401
Technician (Personal Care Attendant)
235 S WATER ST
MARTINSBURG, WV 25401
Community Health Worker
235 S WATER ST
MARTINSBURG, WV 25401
Counselor
235 S WATER ST
MARTINSBURG, WV 25401

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 Kathy Baldwin's NPI number?

The NPI number for Kathy Baldwin is 1174775563. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Where is Kathy Baldwin located?

Kathy Baldwin practices at 235 S Water St, Martinsburg, WV 25401. The listed phone number is (304) 263-8954.

What is Kathy Baldwin's specialty?

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

Is Kathy Baldwin enrolled in Medicare?

Yes. Kathy 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.

What insurance does Kathy Baldwin accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Kathy 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 Kathy Baldwin was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.