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JOSANDRA DEFAZIO LGSW
NPI 1609598671
Social Worker - Clinical in Bridgeport, WV

Active since September 15, 2022PECOS Enrolled
65 PROFESSIONAL PL STE 102, BRIDGEPORT, WV 26330(304) 848-5770(304) 848-5477 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, Sep 15, 2022 (2 updates tracked since 2022).

About Josandra Defazio Lgsw NPPES

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

JOSANDRA DEFAZIO LGSW (NPI 1609598671) is an individual clinical provider in Bridgeport, West Virginia, licensed in West Virginia (DP00946344) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609598671
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJOSANDRA DEFAZIOCredential: LGSW
Location Address65 PROFESSIONAL PL STE 102Bridgeport, WV 26330-0259
Mailing Address65 Professional Pl Ste 102Bridgeport, WV 26330-0259 · (304) 848-5770
Phone(304) 848-5770
Fax(304) 848-5477
Sole ProprietorNo
Enumeration DateSeptember 15, 2022
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1609598671 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 · DP00946344
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.
65 PROFESSIONAL PL STE 102, Bridgeport, WV 26330
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Josandra Defazio Lgsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Josandra Defazio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Of West Virginia, Inc.
Same address
Federally Qualified Health Center (FQHC)
65 PROFESSIONAL PL STE 102103
Bridgeport, WV 26330
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1063808418 (West Virginia), NPI 1164809802 (West Virginia)
  • 31 clinicians in this Medicare group
NPI 1619348844 (304) 848-5770

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 26330 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 9

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

ASHLEY FREEMAN TAYLOR LGSW
Social Worker
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
HANNAH E. SQUIRES
Social Worker
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
ZABRYA LEE ROBSON MA, LPC
Counselor (Mental Health)
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
MARA ALEXIS KIRKPATRICK
Social Worker
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
JACKSON HUSSEY
Counselor
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
DR. KEVIN DOUGLAS JUNKINS MD
Psychiatry & Neurology (Psychiatry)
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
MS. KAETLYNN LEIGHANDRA LIPINSKI LGSW
Social Worker
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
JOHN RYAN HENSON
Case Manager/Care Coordinator
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770

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 Josandra Defazio's NPI number?

The NPI number for Josandra Defazio is 1609598671. It was assigned to this individual provider in the NPPES registry on September 15, 2022.

Where is Josandra Defazio located?

Josandra Defazio practices at 65 Professional Pl Ste 102, Bridgeport, WV 26330. The listed phone number is (304) 848-5770.

What is Josandra Defazio's specialty?

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

Is Josandra Defazio enrolled in Medicare?

Yes. Josandra Defazio is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Josandra Defazio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josandra Defazio reassigns Medicare benefits to Community Care Of West Virginia, Inc. (Bridgeport, WV). The 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 Josandra Defazio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josandra Defazio accept?

Health plans from CareSource list Josandra Defazio 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 Josandra Defazio was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.