Active NPI
Clarity Wellness Counseling, PLLC
- Clinical Social Worker
- Winston Salem, NC
National Provider Identifier
1275074643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009334
- Legal business name
- CLARITY WELLNESS COUNSELING, PLLC
- Practice address
- 823 W 5TH St
Winston Salem, NC 27101-2544 - Phone
- (336) 565-6365
- NPI assigned
- Mar 17, 2017
- 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
- Maria Guidetti Olson, MSW, LCSW
- Title
- Organizer and Member
- Phone
- (336) 565-6365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C009334 | NC | Primary |
Addresses
Primary practice location
823 W 5TH St
Winston Salem, NC 27101-2544
Mailing address
823 W 5TH St
Winston Salem, NC 27101-2544
Phone (336) 565-6365
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489708800000",
"number": "1275074643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 W 5TH ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012544",
"telephone_number": "336-565-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 W 5TH ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012544",
"telephone_number": "336-565-6365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARITY WELLNESS COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-17",
"last_updated": "2017-03-17",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "GUIDETTI",
"authorized_official_title_or_position": "ORGANIZER AND MEMBER",
"authorized_official_telephone_number": "336-565-6365",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.