Mt Airy Therapy & Consulting Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MT AIRY THERAPY & CONSULTING SERVICES, PLLC

Practice address

200 N Main St
Mount Airy, NC 27030-3810

Phone

(336) 909-0192

NPI assigned

Sep 29, 2023

Organization subpart

No

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

Authorized official

Name

Alan Gregory Bagshaw, LCSW LCASNPI 1538432737

Title

Owner

Phone

(336) 909-0192

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Alan Gregory Bagshaw, LCSW, LCAS

  • Clinical Social Worker
  • Mount Airy, NC
  • NPI 1538432737

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1386424141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N MAIN ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303636",
            "telephone_number": "336-909-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303810",
            "telephone_number": "336-909-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT AIRY THERAPY & CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "BAGSHAW",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-909-0192",
        "authorized_official_credential": "LCSW LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Airy City Schools
• Mount Airy Emergency Physicians, PLLC
• Mt Airy Drug Inc
• Mt Airy Foot and Ankle Center PLLC
• Mt Airy OB GYN Center, Inc
• Mt. Airy Dialysis Center of Wake Forest University
• Mt. Airy Opco, LLC
• Mt. Airy Operating Company LLC
• Janice Murphy
• Kara Jean Narigon, FNP-BC

• Clinical Social Worker in Mount Airy, NC
• Providers in Mount Airy, 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 Oct 4, 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.