R-M Innovated, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007279 Issued in NC

Legal business name

R-M INNOVATED, PLLC

Practice address

523 N Platte Rd
Fayetteville, NC 28303-2731

Phone

(910) 824-4760

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Holly Ann Roberts, MSW, LCSW

Title

Ceo, Clinician

Phone

(910) 824-4760

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Roberts Jones, MSW, LCSW

  • Clinical Social Worker
  • Four Oaks, NC
  • NPI 1760611610
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1124304316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N PLATTE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032731",
            "telephone_number": "910-824-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N PLATTE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032731",
            "telephone_number": "910-824-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R-M INNOVATED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO, CLINICIAN",
        "authorized_official_telephone_number": "910-824-4760",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007879",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Quinones
• Eric D Quintero
• Yvon Nguyen Quirk, MSW
• Sinai Quiroz
• Rigoberto Alonte Quizon, RPH
• R&R Behavioral Health & Consulting PLLC
• R4 Therapeutic Solutions, PLLC
• Brittany Rabe
• Amanda Morcom Rabin, DPT, ATC
• Rachael G Smith Counseling PLLC

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.