Individual provider · Type 1 NPI

Misty Lee Woodard, RBA, LICSW

Clinical Social Worker · Charleston, WV

NPI number 1376255265 Active

Practice location

1 Kenton Dr Ste 200
Charleston, WV 25311-1256

Call (304) 513-3495 Map

Mailing address

1005 White Willow Way
Morgantown, WV 26505-6119

Other practice locations

  • 101 Martin Dr, Mount Hope, WV 25880-1509 · (681) 422-3338
  • 379 Stanaford Rd, Beckley, WV 25801-3141 · (681) 422-3338

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XDP00946585 (WV)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1376255265

Misty Lee Woodard, RBA, LICSW's National Provider Identifier is 1376255265, issued on Dec 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charleston, WV. The record was last updated on Sep 29, 2026.