Brian Cameron Siders
Social Worker in Charleston, WV. Individual provider (NPI-1).
NPI number1104592948
StatusActive
Last updated in NPPESMay 18, 2026
Details
- NPI
- 1104592948
- Entity type
- Individual (NPI-1)
- Name
- Brian Cameron Siders
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2021
- Certification date
- May 18, 2026
- Last updated
- May 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
300 Kenton Dr Ste 3Charleston, WV 25311-1266
Phone 304-941-6256
Mailing address
Po Box 1013Elkview, WV 25071-1013
Phone 304-881-8652
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 66 Social Worker providers in Charleston · All 9,831 providers in Charleston
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