Organization Active NPI

Clarity Wellness Counseling, PLLC

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1275074643
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009334 Issued in NC
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

Updated by the provider on Mar 17, 2017

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.