NPIMap

Organization Active NPI

Salem Counseling and Consulting, LLC

  • Clinical Social Worker
  • Pooler, GA
National Provider Identifier
1336463744
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW002511 Issued in GA
Legal business name
SALEM COUNSELING AND CONSULTING, LLC
Practice address
105 Grand Central Blvd
Suite 107
Pooler, GA 31322-4148
Phone
(912) 308-8318
Fax
(912) 748-3847
NPI assigned
Mar 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Stephanie H Warren, LCSW
Title
President/Owner
Phone
(912) 308-8318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW002511 GA Primary

Addresses

Primary practice location

105 Grand Central Blvd
Suite 107
Pooler, GA 31322-4148

Mailing address

113 Village Lake Dr
Pooler, GA 31322-2147
Phone (912) 308-8318

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1336463744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 VILLAGE LAKE DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222147",
            "telephone_number": "912-308-8318",
            "fax_number": "912-748-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GRAND CENTRAL BLVD",
            "address_2": "SUITE 107",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224148",
            "telephone_number": "912-308-8318",
            "fax_number": "912-748-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "912-308-8318",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.