Organization Active NPI

Individual/Family Assessment and Treatment Services, PLLC

  • Social Worker
  • Greensboro, NC
National Provider Identifier
1093356875
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
INDIVIDUAL/FAMILY ASSESSMENT AND TREATMENT SERVICES, PLLC
Practice address
2005 Boulevard St Ste E
Greensboro, NC 27407-4557
Phone
(910) 280-6513
NPI assigned
Oct 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Barbara A. Martin, LCSWNPI 1013558220
Title
Owner
Phone
(910) 280-6513

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

2005 Boulevard St Ste E
Greensboro, NC 27407-4557

Mailing address

2005 Boulevard St Ste E
Greensboro, NC 27407-4557
Phone (910) 280-6513

Other identifiers 1

IdentifierTypeStateIssuer
C001549MedicaidNC

National Provider Directory

National Provider Directory

Locations

2005 Boulevard St
Ste E
Greensboro, NC 27407
Phone (910) 280-6513

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": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1093356875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BOULEVARD ST STE E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074557",
            "telephone_number": "910-280-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BOULEVARD ST STE E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074557",
            "telephone_number": "910-280-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL/FAMILY ASSESSMENT AND TREATMENT SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-280-6513",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C001549",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.