Proserv Social Work

Primary specialty

Social WorkerTaxonomy code 104100000X

License

57225 Issued in TX

Legal business name

PROSERV SOCIAL WORK

Practice address

801 Washington Ave Ste 602
Waco, TX 76701-1266

Phone

(254) 863-8801

Fax

(855) 333-3759

NPI assigned

Jan 30, 2017

Last updated

Jan 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Audrey Andrews

Title

Administrator & Ceo

Phone

(254) 863-8800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1144767062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WASHINGTON AVE STE 602",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011266",
            "telephone_number": "254-863-8801",
            "fax_number": "855-333-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WASHINGTON AVE STE 602",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011266",
            "telephone_number": "254-863-8801",
            "fax_number": "855-333-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSERV SOCIAL WORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "ADMINISTRATOR & CEO",
        "authorized_official_telephone_number": "254-863-8800"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "57225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Waco, TX
• Providers in Waco, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.