Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Lee Lickliter, DO

Individual provider Pediatrics Physician · NPI 1053671669

Jacqueline Lee Lickliter, DO is a Pediatric Medicine in Beckley, West Virginia. Graduated from West Virginia School of Osteopathic Medicine in 2008, 18 years ago. Works from 2 locations. Licensed in Ohio and West Virginia.

Years since qualifying
18
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
OH, WV
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

230 George St Ste 2
Beckley, WV 25801-2620
Phone: (304) 255-2878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6505 Market St Ste 2100, Boardman, OH 44512-3457 — (330) 746-8040

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2950 (WV)
Pediatrics Physician Taxonomy 208000000X · Licence 34.012256 (OH)

Record details

NPI number1053671669
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 17, 2012
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address230 George St Ste 2, Beckley, WV 25801-2620

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Beckley