Universal Program of Recovery LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12064 Issued in SC

Legal business name

UNIVERSAL PROGRAM OF RECOVERY LLC

Practice address

640 Old Back River Rd
Goose Creek, SC 29445-7825

Phone

(623) 628-0714

Fax

(843) 297-4456

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Andrea Renee Thorpe, LISW-CP,MAC, ICAADC,NPI 1467522979

Title

Owner, Therapist

Phone

(623) 628-0714

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Andrea R Thorpe Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Renee Thorpe, LCSW, LAC, LISW-CP

  • Clinical Social Worker
  • Murphy, NC
  • NPI 1467522979

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1346765534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 OLD BACK RIVER RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457825",
            "telephone_number": "623-628-0714",
            "fax_number": "843-297-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 OLD BACK RIVER RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457825",
            "telephone_number": "623-628-0714",
            "fax_number": "843-297-4456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 E Main St",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294613764",
            "country_code": "US",
            "telephone_number": "623-628-0714",
            "fax_number": "843-297-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSAL PROGRAM OF RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "623-628-0714",
        "authorized_official_credential": "LISW-CP,MAC, ICAADC,"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "508240",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "C0160",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "2085R",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12064",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1385",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrea R Thorpe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Martin Tucker III, MD
• Richard Emmanuel Tuzon
• Carolyn Underhill, ORT/L
• Donna Michelle Unger, PHARM D
• Universal Primary Care & Aesthetics, LLC
• Untouchable Hands Home Care LLC
• Andrew Luis Urrechaga Quick, DC
• Melissa Vagts, CCC-SLP
• Cynthia Caughman Vannoy, PT
• Melissa Venter, RBT

• Clinical Social Worker in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.