Individual
MRS. SENECA JEAN UPHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BP00946090
WV
1041C0700X
Clinical Social Worker
Primary
DP00946090
WV
374U00000X
Home Health Aide
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7728
—
WV
Enumeration date
12/18/2020
Last updated
06/17/2025
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