Victory Counseling and Wellness, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VICTORY COUNSELING AND WELLNESS, LLC.

Practice address

1601 Motor Inn Dr Ste 215
Girard, OH 44420-2482

Phone

(330) 519-7543

NPI assigned

May 17, 2019

Organization subpart

No

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

Authorized official

Name

Lori M Hamilton, LISW-SNPI 1548415870

Title

Sole Member

Phone

(330) 519-7543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Lori M. Hamilton, LISW-S

  • Clinical Social Worker
  • Girard, OH
  • NPI 1548415870
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1154987907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2281",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445040281",
            "telephone_number": "330-519-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MOTOR INN DR STE 215",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202482",
            "telephone_number": "330-519-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY COUNSELING AND WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "330-519-7543",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Girard, OH
• Providers in Girard, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.