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

Mrs. Misty Lee Woodard, RBA, LICSW

Individual provider Social Worker · NPI 1376255265

Mrs. Misty Lee Woodard, RBA, LICSW is a Clinical Social Worker in Charleston, West Virginia. Qualified in 2022, 4 years ago. Practices with Grandw Inc, a 90-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
4
Licensed in
WV
In the registry since
2022
Specialties on file
4
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1 Kenton Dr Ste 200
Charleston, WV 25311-1256
Phone: (304) 513-3495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence DP00946585 (WV)
Social Worker Taxonomy 104100000X
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1376255265
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBA , LICSW
Sole proprietorYes
NPI enumeratedDecember 22, 2022
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Grandw Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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