Synergy Wellness Clinic, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SYNERGY WELLNESS CLINIC, PLLC

Practice address

2805 McLamb PL
Goldsboro, NC 27534-1647

Phone

(919) 734-2222

Fax

(919) 734-2229

NPI assigned

Jul 21, 2023

Last updated

Jul 21, 2023By 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

Ada G Freeman, MSW, LCSWNPI 1902825615

Title

Owner/Provider

Phone

(919) 734-2222

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ada Freeman, LCSW, MSW

  • Clinical Social Worker
  • Goldsboro, NC
  • NPI 1902825615
  NPD Authorized official
• Bahman Malekpour, M.D.

  • Psychiatry Physician
  • Goldsboro, NC
  • NPI 1366468399
  NPD

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1386324622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10141",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275320141",
            "telephone_number": "919-734-2222",
            "fax_number": "919-734-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341647",
            "telephone_number": "919-734-2222",
            "fax_number": "919-734-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY WELLNESS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "919-734-2222",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1248P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Swales, RDN, CDCES
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• Rita Sweet
• Misha Monette Sykes
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• Wilson Egbe Tabe, MD
• Tar Heel Health Care Services, LLC (CenterWell Home Health)
• Dianne Tart, M.S.,CCC-SLP
• David Thomas Tayloe, MD

• Clinical Social Worker in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.