Aspen Family Center of Alabama

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3623C Issued in AL

Legal business name

ASPEN FAMILY CENTER OF ALABAMA

Practice address

336 Richmar Dr
Mountain BRK, AL 35213-4418

Phone

(937) 726-8629

NPI assigned

Dec 15, 2014

Last updated

Dec 15, 2014By 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

Tanya Marie Odaniel, LCSW

Title

Director

Phone

(937) 726-8629

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1154729622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 RICHMAR DR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352134418",
            "telephone_number": "937-726-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 RICHMAR DR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352134418",
            "telephone_number": "937-726-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN FAMILY CENTER OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "ODANIEL",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-726-8629",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3623C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Apel
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• Andrew Weil Artmann, PHARM D
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• Clinical Social Worker in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.