Active NPI
Supportive Solutions, LLC
- Clinical Social Worker
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SUPPORTIVE SOLUTIONS, LLC
- Practice address
- 1337 E Garrison Blvd
Gastonia, NC 28054-5127 - Phone
- (704) 865-3848
- Fax
- (704) 854-3086
- NPI assigned
- May 3, 2012
- Last updated
- Sep 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Claude Brown, LCSW
- Title
- Owner
- Phone
- (828) 358-1110
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
1337 E Garrison Blvd
Gastonia, NC 28054-5127
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104340892 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
110 N Center St
Ste 203
Hickory, NC 28601
Phone (828) 358-1110
2359 US Highway 70 SE
Hickory, NC 28602
Phone (828) 358-1110
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Hickory, NC
- NPI 1073808242
-
- Clinical Social Worker
- Gastonia, NC
- NPI 1306184106
-
- Clinical Social Worker
- Newton, NC
- NPI 1124246772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663027200000",
"number": "1255690731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744786",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744786",
"telephone_number": "704-834-2450",
"fax_number": "704-671-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1337 E GARRISON BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545127",
"telephone_number": "704-865-3848",
"fax_number": "704-854-3086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORTIVE SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-03",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CLAUDE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-358-1110",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104340892",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.