Augusta Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00942181 Issued in WV

Legal business name

AUGUSTA WELLNESS, LLC

Practice address

425 Industrial Ave
Morgantown, WV 26505-0347

Phone

(304) 680-4673

NPI assigned

Mar 17, 2016

Last updated

Mar 17, 2016By 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

Christa Aucremanne, LICSW

Title

Owner/Clinical Social Worker

Phone

(304) 680-4673

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1417318551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "city": "REEDSVILLE",
            "state": "WV",
            "postal_code": "265470437",
            "telephone_number": "304-680-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 INDUSTRIAL AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050347",
            "telephone_number": "304-680-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "AUCREMANNE",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "304-680-4673",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00942181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlas Chiropractic PLLC
• Manga Prashanti Atluri, M.D.
• Laurie Meyer Atterton, M.D.
• Miklos L Auber, M. D.
• David A. August, M.D.
• Sonikpreet Aulakh, MD
• Alicia Austin
• Cynthia Austin
• Falyn Austin, CRNA
• Kristin Austin, PHARMD

• Clinical Social Worker in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.