Organization Active NPI

Family Support Services, LLC

  • Clinical Social Worker
  • Decatur, AL
National Provider Identifier
1023142189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0793-2015C Issued in AL
Legal business name
FAMILY SUPPORT SERVICES, LLC
Practice address
1608 4TH Ave SE
Decatur, AL 35601-4904
Phone
(256) 340-9233
Fax
(256) 796-1776
NPI assigned
Mar 14, 2007
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
Ms. Brandy Woods Holmes, LCSW
Title
President
Phone
(256) 340-9233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0793-2015C AL Primary

Addresses

Primary practice location

1608 4TH Ave SE
Decatur, AL 35601-4904

Mailing address

1608 4TH Ave SE
Decatur, AL 35601-4904
Phone (256) 340-9233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070423000600 AL Part B Supplier - Clinic/Group Practice 8224133061 Receives reassigned benefits from 5 practitioners
Practice locations: Blountsville, AL; Cullman, AL; Decatur, AL; Huntsville, AL

National Provider Directory

National Provider Directory
Tax ID family
Family Support Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2620 Memorial Pkwy NW
Ste C
Huntsville, AL 35810
Phone (256) 340-9233

604 Jordan Ln NW
Huntsville, AL 35816
Phone (256) 340-9233

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023142189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 4TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014904",
            "telephone_number": "256-340-9233",
            "fax_number": "256-796-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 4TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014904",
            "telephone_number": "256-340-9233",
            "fax_number": "256-796-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "WOODS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-340-9233",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0793-2015C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.