Social Assist LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I.0800419 .SUPV Issued in OH

Legal business name

SOCIAL ASSIST LLC

Practice address

147 E Aurora Rd
Lower Level
Northfield, OH 44067-2084

Phone

(440) 523-0165

Fax

(330) 748-4780

NPI assigned

Jan 7, 2014

Last updated

Jan 7, 2014By 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

Mrs. Jill Carol Miller, LISW-S, LICDC, SAP

Title

Owner/Counselor

Phone

(440) 523-0165

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1427470665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 E AURORA RD",
            "address_2": "LOWER LEVEL",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672084",
            "telephone_number": "440-523-0165",
            "fax_number": "330-748-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E AURORA RD",
            "address_2": "LOWER LEVEL",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672084",
            "telephone_number": "440-523-0165",
            "fax_number": "330-748-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL ASSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "440-523-0165",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-S, LICDC, SAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "I.0800419 .SUPV",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "131071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Marie Smith-Krueger, R.N.
• Douglas A Smith, M.D.
• Joann Maria Smith
• Randolph Smith
• Sunshine Smith, LMT, CPT
• Weston Kay Sokol
• Yana Soroka
• Patrick James Sovacool, D.D.S.
• Anna Stankiewicz
• Clare Stankiewicz

• Community/Behavioral Health Agency in Northfield, OH
• Providers in Northfield, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.