Active NPI
Innovative Therapy Works LLC.
- Clinical Social Worker
- Kennesaw, GA
National Provider Identifier
1033958715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- INNOVATIVE THERAPY WORKS LLC.
- Practice address
- 2959 Cherokee St NW
Kennesaw, GA 30144-6521 - Phone
- (901) 691-5954
- NPI assigned
- May 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kenya T Jones, LCSW
- Title
- Practice Manager
- Phone
- (901) 691-5954
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
2959 Cherokee St NW
Kennesaw, GA 30144-6521
Mailing address
29 Timberland Trace CT
Dallas, GA 30157-9669
Phone (901) 691-5954
National Provider Directory
National Provider DirectoryLocations
2959 Cherokee St NW
Kennesaw, GA 30144
Phone (901) 691-5954
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1033958715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 TIMBERLAND TRACE CT",
"city": "DALLAS",
"state": "GA",
"postal_code": "301579669",
"telephone_number": "901-691-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2959 CHEROKEE ST NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301446521",
"telephone_number": "901-691-5954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE THERAPY WORKS LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KENYA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "901-691-5954",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.