Anew Life Treatment and Training Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ANEW LIFE TREATMENT AND TRAINING CENTER, LLC

Practice address

509 N Cassady Ave #201
Bexley, OH 43209

Phone

(614) 815-4804

NPI assigned

Mar 19, 2020

Last updated

Mar 19, 2020By 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

Anderson Frederick II, MSW, LISWNPI 1184278723

Title

Founder and Owner

Phone

(614) 815-4804

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Anderson Frederick II, MSW, LISW

  • Clinical Social Worker
  • Bexley, OH
  • NPI 1184278723
  NPD Authorized official

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1407482771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N CASSADY AVE #201",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "43209",
            "telephone_number": "614-815-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N CASSADY AVE #201",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "43209",
            "telephone_number": "614-815-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW LIFE TREATMENT AND TRAINING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "FREDERICK II",
        "authorized_official_first_name": "ANDERSON",
        "authorized_official_title_or_position": "FOUNDER AND OWNER",
        "authorized_official_telephone_number": "614-815-4804",
        "authorized_official_credential": "MSW, LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bexley, OH
• Providers in Bexley, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.