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

Q: 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.

Q: What is Josandra Defazio's specialty?

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

Q: 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 7 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.

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: August 02, 2026.

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

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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 and is a graduate of Other (2022).

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

Medical School CMSOtherGraduated 2022

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, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6709389224

PECOS Enrollment IDI20250911002056

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.

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