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

NPI Status: Active since November 15, 2022

Contact Information

120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 513-3495

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  • Individual
  • Female
  • Social Worker

About COURTNEY KISAMORE

This page provides the complete NPI Profile along with additional information for Courtney Kisamore, a provider established in Bridgeport, West Virginia with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1699484014 assigned on November 2022. The practitioner's primary taxonomy code is 104100000X with license number BP00946369 (WV). The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1699484014
Provider Name
COURTNEY DANIELLE KISAMORE LGSW
Gender
Female
Entity Type
Individual
Location Address
120 PROFESSIONAL PL STE 101 BRIDGEPORT, WV 26330
Location Phone
(304) 513-3495
Mailing Address
101 PEMBROKE CT GREENSBURG, PA 15601
Mailing Phone
(724) 396-1510
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
11-15-2022
Last Update Date
04-15-2026
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A social worker like Courtney Kisamore helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

Location Map

Secondary Locations

  • 20 Dunbar St
    Uniontown, PA 15401
    (724) 396-1510
  • 6510 Mall Rd
    Morgantown, WV 26501
    (304) 557-1122
  • 114 Walnut Ave
    Fairmont, WV 26554
    (724) 396-1510

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
BP00946369
License State
WV
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1699484014MEDICAID (05)WV 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699484014, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 4 → 8 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 8 + 8 + 8 + 0 + 2 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1699484014.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Counselor (Mental Health)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Social Worker (Clinical)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Social Worker (Clinical)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Counselor (Mental Health)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Counselor (Professional)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Nurse Practitioner
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Nurse Practitioner
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Counselor (Mental Health)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Social Worker (Clinical)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Counselor (Mental Health)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Counselor (Mental Health)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Social Worker (Clinical)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Nurse Practitioner (Psychiatric/Mental Health)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Counselor (Mental Health)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699484014, enumerated as an "individual" on November 15, 2022.

The provider is located at 120 PROFESSIONAL PL STE 101 BRIDGEPORT, WV 26330 and the phone number is (304) 513-3495.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.