Provider Demographics
NPI:1942458518
Name:MONEYPENNY, NADEAU (LGSW)
Entity Type:Individual
Prefix:
First Name:NADEAU
Middle Name:
Last Name:MONEYPENNY
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3389 WINFIELD RD STE 8
Mailing Address - Street 2:PO BOX 229
Mailing Address - City:WINFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:25213-9354
Mailing Address - Country:US
Mailing Address - Phone:304-586-0670
Mailing Address - Fax:304-525-1073
Practice Address - Street 1:310 CANNERY LN
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:WV
Practice Address - Zip Code:25213-7104
Practice Address - Country:US
Practice Address - Phone:304-741-1340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP009429981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVBP00942998OtherLGSW