Organization Active NPI

From Chains to Glory Enterprise

  • Clinical Social Worker
  • Orange Park, FL
National Provider Identifier
1417385998
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11417 Issued in FL
Legal business name
FROM CHAINS TO GLORY ENTERPRISE
Practice address
1363 Akron Oaks Dr
Orange Park, FL 32065-4274
Phone
(202) 497-5633
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Joy L. Dozier-Smith, LCSW
Title
President
Phone
(202) 497-5633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW11417 FL Primary

Addresses

Primary practice location

1363 Akron Oaks Dr
Orange Park, FL 32065-4274

Mailing address

1363 Akron Oaks Dr
Orange Park, FL 32065-4274
Phone (202) 497-5633

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1417385998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 AKRON OAKS DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320654274",
            "telephone_number": "202-497-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 AKRON OAKS DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320654274",
            "telephone_number": "202-497-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROM CHAINS TO GLORY ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "DOZIER-SMITH",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-497-5633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.