NPIMap

Organization Active NPI

Southwestern Regional Day Report Center

  • Clinical Social Worker
  • Logan, WV
National Provider Identifier
1154864411
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOUTHWESTERN REGIONAL DAY REPORT CENTER
Practice address
1 Washington Ave
Suite 300
Logan, WV 25601-3900
Phone
(304) 792-8689
Fax
(304) 792-2018
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Michelle Akers, LCC
Title
Director
Phone
(304) 792-8648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X WV Primary

Addresses

Primary practice location

1 Washington Ave
Suite 300
Logan, WV 25601-3900

Mailing address

1 Washington Ave
Suite 300
Logan, WV 25601-3900

National Provider Directory

National Provider Directory
Tax ID family
Southwestern Regional Day Report Center2 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.

Locations

1 Washington Ave
Ste 300
Logan, WV 25601
Phone (304) 792-8689

Practitioners & affiliated clinicians

Practitioners 8

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": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1154864411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON AVE",
            "address_2": "SUITE 300",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON AVE",
            "address_2": "SUITE 300",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013900",
            "telephone_number": "304-792-8689",
            "fax_number": "304-792-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN REGIONAL DAY REPORT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-792-8648",
        "authorized_official_credential": "LCC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.