Life Support Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007545 Issued in NC

Legal business name

LIFE SUPPORT COUNSELING, PLLC

Practice address

690 N Reilly Rd
Suite # 214
Fayetteville, NC 28303-5724

Phone

(443) 985-0541

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Hilary Watson, LCSWNPI 1013174671

Title

Clinical Social Worker

Phone

(443) 985-0541

Specialties & licenses 1

Addresses

Other names 1

• Hilary Watson, LCSW Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

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.

• Hilary Lyssa Watson, LCSWC

  • Clinical Social Worker
  • Gaithersburg, MD
  • NPI 1013174671

  NC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1235543448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BOSTON HBR",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283266238",
            "telephone_number": "443-985-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N REILLY RD",
            "address_2": "SUITE # 214",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035724",
            "telephone_number": "443-985-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUPPORT COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "443-985-0541",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilary Watson, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lifespan ABA Inc.
• Lifestyle Enrichment Home Care Agency
• Lifetime Counseling Services, PLLC
• Lifeworks Neurodiagnostic Center PLLC
• Light & Rod LLC

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.