NPIMap

Organization Active NPI

Complement and Complete, PLLC

  • Clinical Social Worker
  • Gerrardstown, WV
National Provider Identifier
1043921034
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMPLEMENT AND COMPLETE, PLLC
Practice address
2041 Buckhill Road
Gerrardstown, WV 25420-2542
Phone
(951) 264-0369
NPI assigned
Dec 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Denetra Gary, LCSW, LCSW-C
Title
Owner
Phone
(910) 216-4655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2041 Buckhill Road
Gerrardstown, WV 25420-2542

Mailing address

4800 Express Dr.
#19769 SMB#29685
Charlotte, NC 28208
Phone (910) 216-4655

Other identifiers 1

IdentifierTypeStateIssuer
1700338886OtherMDNPI

Other names 1

  • DENETRA GARY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL DENETRA@COMPLEMENTANDCOMPLETE.COM Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1043921034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 EXPRESS DR.",
            "address_2": "#19769 SMB#29685",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "910-216-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 BUCKHILL ROAD",
            "city": "GERRARDSTOWN",
            "state": "WV",
            "postal_code": "254202542",
            "telephone_number": "951-264-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEMENT AND COMPLETE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "DENETRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-216-4655",
        "authorized_official_credential": "LCSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700338886",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DENETRA@COMPLEMENTANDCOMPLETE.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CONTACT",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "2041 Buckhill Road",
            "city": "Gerrardstown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254202542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DENETRA GARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gerrardstown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.