Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mountaineer Life Enrichment Center, LLC

Organization Clinical Social Worker · NPI 1275232043

Mountaineer Life Enrichment Center, LLC provides Clinical Social Worker services in Fairmont, West Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1522 Bunner Ridge Rd
Fairmont, WV 26554-5079
Phone: (304) 373-4678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1275232043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Sears — Clinical Social Worker · (304) 373-4678
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address1522 Bunner Ridge Rd, Fairmont, WV 26554-5079

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