Square One Family Networks Corp.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

AP00944042 Issued in WV

Legal business name

SQUARE ONE FAMILY NETWORKS CORP.

Practice address

1708 Locust Ave Ste 201
Fairmont, WV 26554-1332

Phone

(304) 694-7636

Fax

(888) 977-2130

NPI assigned

Sep 23, 2014

Organization subpart

No

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

Authorized official

Name

Jayme Dawn Dodd, LSW

Title

Owner, Executive Director

Phone

(304) 657-8943

Specialties & licenses 2

Addresses

Tax ID family

Square One Family Networks Corp2 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.

• Square One Family Networks Corp

  • Case Management Agency
  • Fairmont, WV
  • NPI 1013311133
  NPD tax ID

Locations

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1104228006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 LOCUST AVE STE 201",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541332",
            "telephone_number": "304-694-7636",
            "fax_number": "888-977-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 LOCUST AVE STE 201",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541332",
            "telephone_number": "304-694-7636",
            "fax_number": "888-977-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE ONE FAMILY NETWORKS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "JAYME",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-657-8943",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "AP00944042",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WV",
            "license": "332608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nichole Spitler
• Dailinn C Spitznogle, FNP-C
• Kandyce Raylea Spitznogle
• Sherry Springer
• Square One Family Networks Corp
• Srividhya Sridharan, MD
• St. Barbaras Memorial Nursing Home Inc
• Robin L Stackpole, RPH
• Debbie Stahl
• David C. Stahr, DDS

• Case Management Agency in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Case Management Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.