United Family Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

UNITED FAMILY THERAPY, LLC

Practice address

630 E Church St
Jasper, GA 30143-1312

Phone

(762) 233-4869

Fax

(706) 510-2654

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Hilda Beatriz Grindell, LCSWNPI 1780136796

Title

Owner

Phone

(954) 892-4767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Hilda Grindell, LCSW

  • Clinical Social Worker
  • Ellijay, GA
  • NPI 1780136796
  Medicare reassignment Care Compare group NPD Authorized official
• Laurie D Palmer, LCSW

  • Clinical Social Worker
  • Jasper, GA
  • NPI 1053639815
  Medicare reassignment Care Compare group NPD
• Jennifer Nicole Lorey, LMSW

  • Social Worker
  • Ellijay, GA
  • NPI 1124815931
  NPD (past)

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679788800000",
    "number": "1356096218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E CHURCH ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431312",
            "telephone_number": "762-233-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E CHURCH ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431312",
            "telephone_number": "762-233-4869",
            "fax_number": "706-510-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "GRINDELL",
        "authorized_official_first_name": "HILDA",
        "authorized_official_middle_name": "BEATRIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-892-4767",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie E. Tyson, NP-C
• United Rehab Inc
• Uplift Pelvic Health, LLC
• Ashley Valderrama, MS, CCC-SLP
• Van Tuyl Dental Group
• Richard J Vandam, M.D.

• Clinical Social Worker in Jasper, GA
• Providers in Jasper, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.