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COURTNEY DANIELLE KISAMORE LGSW
NPI 1699484014
Social Worker in Bridgeport, WV

Active since November 15, 2022
120 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330(304) 513-3495 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Nov 18, 2022 (2 updates tracked since 2022).

About Courtney Danielle Kisamore Lgsw NPPES

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

COURTNEY DANIELLE KISAMORE LGSW (NPI 1699484014) is an individual social worker in Bridgeport, West Virginia, licensed in West Virginia (BP00946369) and active in the NPI registry since November 2022. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699484014
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCOURTNEY DANIELLE KISAMORECredential: LGSW
Location Address120 PROFESSIONAL PL STE 101Bridgeport, WV 26330-4599
Mailing Address101 Pembroke CtGreensburg, PA 15601-6404 · (724) 396-1510 · Fax (724) 972-4627
Phone(304) 513-3495
Sole ProprietorNo
Enumeration DateNovember 15, 2022
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1699484014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in WV · BP00946369
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
120 PROFESSIONAL PL STE 101, Bridgeport, WV 26330
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Secondary Practice Locations 3

Location 16510 Mall RdMorgantown, WV 26501-8525 · Phone (304) 557-1122
Location 220 Dunbar StUniontown, PA 15401-4275 · Phone (724) 396-1510 · Fax (724) 972-4627
Location 3114 Walnut AveFairmont, WV 26554-2821 · Phone (724) 396-1510 · Fax (724) 972-4627

Other Identifiers 1

Medicaid1699484014WV

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.

ASHLEY ERIN FIZER MSW, LGSW
Social Worker (Clinical)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495
JILL NICOLE STRASSER MSN, APRN, FNP-BC
Nurse Practitioner
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 460-5123
MRS. CRYSTAL NICOLE PETTREY LGSW
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495
ROSEMARY MASON LGSW
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495
MRS. SHIRLEY SIMMONS PA-C
Physician Assistant
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495
TRACI R BODKINS
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 369-8878
MS. SAMANTHA CLARK LICSW
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495
RONALENE HOLT DELLIGATTI MSW, LGSW
Social Worker (Clinical)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495

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 Courtney Kisamore's NPI number?

The NPI number for Courtney Kisamore is 1699484014. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Courtney Kisamore located?

Courtney Kisamore practices at 120 Professional Pl Ste 101, Bridgeport, WV 26330. The listed phone number is (304) 513-3495.

What is Courtney Kisamore's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Courtney Kisamore was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.