NPIMap

Organization Active NPI

Stresscare, Inc.

  • Clinical Social Worker
  • Watkinsville, GA
National Provider Identifier
1023086105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001572 Issued in GA
Legal business name
STRESSCARE, INC.
Practice address
1030 Village Dr
Watkinsville, GA 30677-6004
Phone
(706) 769-1718
Fax
(706) 769-4535
NPI assigned
Mar 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul R. Cole, LCSW
Title
President Owner
Phone
(706) 769-1718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 001572 GA Primary

Addresses

Primary practice location

1030 Village Dr
Watkinsville, GA 30677-6004

Mailing address

1030 Village Dr
Watkinsville, GA 30677
Phone (706) 769-1718

National Provider Directory

National Provider Directory

Locations

1 Huntington Rd
Ste 704
Athens, GA 30606
Phone (706) 552-0706

1030 Village Dr
Watkinsville, GA 30677
Phone (706) 310-9046

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023086105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 VILLAGE DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "706-769-1718",
            "fax_number": "706-769-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 VILLAGE DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776004",
            "telephone_number": "706-769-1718",
            "fax_number": "706-769-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRESSCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "706-769-1718",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "001572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.