VICTORY ELEMENTARY WELLNESS CENTER
NPI 1669923538
Clinic/Center - Federally Qualified Health Center (FQHC) in Clarksburg, WV

Q: What is Community Care Of West Virginia, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since October 17, 2016

1349 SHINNSTON PIKE, CLARKSBURG, WV 26301(304) 622-0115(304) 623-6220 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2023, Aug 29, 2022, Oct 17, 2016 (3 updates tracked since 2016).

On this page

About Victory Elementary Wellness Center NPPES

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

VICTORY ELEMENTARY WELLNESS CENTER (NPI 1669923538) is a healthcare organization registered as a federally qualified health center (fqhc) in Clarksburg, West Virginia and active in the NPI registry since October 2016. The organization lists Dora L Potasnik, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1669923538

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.

Location Address1349 SHINNSTON PIKEClarksburg, WV 26301-6307

Mailing Address1349 Shinnston PikeClarksburg, WV 26301-6307 · (304) 622-0115 · Fax (304) 623-6220

Phone(304) 622-0115

Fax(304) 623-6220

Organization SubpartNo

Authorized OfficialDora L PotasnikCredentialing Coordinator · (304) 317-7275

Enumeration DateOctober 17, 2016

Last NPPES UpdateJuly 25, 20233 updates tracked since enumeration

NPPES CertifiedJuly 25, 2023

✔ NPI 1669923538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

1349 SHINNSTON PIKE, Clarksburg, WV 26301

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Other Names 1

Doing Business AsVictory Elementary Wellness Center

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victory Elementary Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Victory Elementary Wellness Center, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Adam Stonestreet, LICSW

Clinical Social Worker

NPI 1245704980

COMMUNITY CARE OF BRIDGEPORT 65 PROFESSIONAL PLACE
Bridgeport, WV 26330

(304) 848-5770

✔ PECOS3.9 mi

Kyle Miller, MD

Family Practice

NPI 1386148013

65 PROFESSIONAL PL STE 102103
Bridgeport, WV 26330

(304) 848-5770

✔ PECOS✔ Accepts Medicare6.6 mi

Melissa Dodrill, M.D.

Family Practice

NPI 1871887349

597 LIBERTY ST
West Milford, WV 26451

(304) 745-4568

✔ PECOS✔ Accepts Medicare7.6 mi

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

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 Community Care Of West Virginia, Inc.'s NPI number?

The NPI number for Community Care Of West Virginia, Inc. is 1669923538. It was assigned to this organization in the NPPES registry on October 17, 2016. The provider is doing business as Victory Elementary Wellness Center.

Where is Community Care Of West Virginia, Inc. located?

Community Care Of West Virginia, Inc. is located at 1349 Shinnston Pike, Clarksburg, WV 26301. The listed phone number is (304) 622-0115.

What is Community Care Of West Virginia, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Community Care Of West Virginia, Inc. enrolled in Medicare?

Yes. Community Care Of West Virginia, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Care Of West Virginia, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Community Care Of West Virginia, Inc., in Clinical Social Worker and Family Practice. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Care Of West Virginia, Inc. accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Community Care Of West Virginia, Inc. 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 Community Care Of West Virginia, Inc. was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.