Exchange Club Center for the Prevention of Child Abuse of Iredell Coun

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

EXCHANGE CLUB CENTER FOR THE PREVENTION OF CHILD ABUSE OF IREDELL COUN

Doing business as

Exchange/SCAN

Practice address

207 Walnut St
Statesville, NC 28677-5812

Phone

(704) 878-2227

Fax

(704) 873-9672

NPI assigned

Sep 23, 2011

Last updated

Sep 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Perras Eisele, LCSWNPI 1922204692

Title

Executive Director

Phone

(704) 878-2227

Specialties & licenses 1

Addresses

Other names 1

• Exchange/SCAN Doing business as

Locations

Practitioners 2

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.

• Amy Perras Eisele, LCSW

  • Clinical Social Worker
  • Statesville, NC
  • NPI 1922204692
  NPD (past) Authorized official
• Desiree' Benfield Crosswhite, BSW, MS, LCSW

  • Clinical Social Worker
  • Statesville, NC
  • NPI 1689971590
  NPD (past)

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1285917534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WALNUT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775812",
            "telephone_number": "704-878-2227",
            "fax_number": "704-873-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WALNUT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775812",
            "telephone_number": "704-878-2227",
            "fax_number": "704-873-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCHANGE CLUB CENTER FOR THE PREVENTION OF CHILD ABUSE OF IREDELL COUN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "EISELE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "PERRAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-878-2227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exchange/SCAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Enterprise Healthcare of Statesville (Jurney's of Statesville)
• Kimberly Eroh, BCBA
• Joseph Michael Eudy, C.PED.
• Joshua A Eudy, C.PED.
• Eugene C Wells MD PA
• Exclusive Grooming & Hair Replacement Center
• Eye Care Unlimited Optometrists, PLLC
• Kirstie Leann Ezell, LCSWA
• Diane Alicia Ezernack, P.T.
• Adam James Fabricius, DPT

• Voluntary or Charitable Agency in Statesville, NC
• Providers in Statesville, NC by specialty
• Voluntary or Charitable Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.