Progressive Recovery Resources LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005677 Issued in NC

Legal business name

PROGRESSIVE RECOVERY RESOURCES LLC

Practice address

1801 N Tryon St Ste 325
Charlotte, NC 28206-2704

Phone

(704) 891-6404

Fax

(980) 225-0560

NPI assigned

Mar 19, 2013

Last updated

Mar 19, 2013By 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

Ameer Green, BSW, QDDP, QMHP

Title

Executive Director/Owner

Phone

(704) 891-6404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Progressive Recovery Resources LLC

  • Case Management Agency
  • Charlotte, NC
  • NPI 1144456104

  O20130603000559

  Same enrollment

Locations

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.

• Delores Estelle Burrill, MSW, LCSW

  • Clinical Social Worker
  • Crofton, MD
  • NPI 1750532461

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1437491248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST STE 325",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "704-891-6404",
            "fax_number": "980-225-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST STE 325",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "704-891-6404",
            "fax_number": "980-225-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE RECOVERY RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "AMEER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "704-891-6404",
        "authorized_official_credential": "BSW, QDDP, QMHP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Community Services
• Progressive Home Care
• Progressive Recovery LLC
• Progressive Recovery Resources Homes LLC
• Progressive Recovery Resources LLC
• Prohealth & Wellness Chiropractic
• Project 658
• Project Mirror Counseling & Outreach Services, PLLC
• Prolific Commute LLC
• Promed Healthcare, PLLC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.