NPIMap

Organization Active NPI

Healing Waters Counseling and Consulting Services

  • Clinical Social Worker
  • Lewisburg, WV
National Provider Identifier
1477120194
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALING WATERS COUNSELING AND CONSULTING SERVICES
Practice address
294 Maple St
Lewisburg, WV 24901-9430
Phone
(304) 208-8974
NPI assigned
Jun 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Anessa SherrodNPI 1033388475
Title
Icsw/Owner
Phone
(304) 208-8974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

294 Maple St
Lewisburg, WV 24901-9430

Mailing address

294 Maple St
Lewisburg, WV 24901-9430
Phone (304) 208-8974

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1477120194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 MAPLE ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019430",
            "telephone_number": "304-208-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 MAPLE ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019430",
            "telephone_number": "304-208-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATERS COUNSELING AND CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "SHERROD",
        "authorized_official_first_name": "ANESSA",
        "authorized_official_title_or_position": "ICSW/OWNER",
        "authorized_official_telephone_number": "304-208-8974"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.