Organization Active NPI

Spirit Refined LLC

  • Clinical Social Worker
  • Melissa, TX
National Provider Identifier
1215501390
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SPIRIT REFINED LLC
Practice address
3406 Founders Way
Melissa, TX 75454-0210
Phone
(915) 539-6326
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Sarah Underbrink, LCSWNPI 1194359109
Title
LCSW
Phone
(915) 539-6326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3406 Founders Way
Melissa, TX 75454-0210

Mailing address

3406 Founders Way
Melissa, TX 75454-0210
Phone (915) 539-6326

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1215501390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 FOUNDERS WAY",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754540210",
            "telephone_number": "915-539-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 FOUNDERS WAY",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754540210",
            "telephone_number": "915-539-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT REFINED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "UNDERBRINK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "915-539-6326",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melissa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.