Misty Lee Woodard, RBA, LICSW
NPI 1376255265ActiveIndividual· Social Worker, Clinical· Charleston, WV
Social Worker, Clinical (RBA, LICSW) with Grandw Inc, practicing in Charleston, West Virginia. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1376255265 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RBA, LICSW |
| Sole proprietor | Yes |
| NPI issued | Dec 22, 2022 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Apr 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | DP00946585 | WV |
| Social Worker | 104100000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WV) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Grandw IncMorgantown, WV · 95 clinicians
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