SS Holdings, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SS HOLDINGS, LLC

Practice address

502 Flippin St
Somerville, TN 38068-1801

Phone

(910) 286-3424

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Tekedrion Perry

Title

Ceo

Phone

(910) 286-3424

Specialties & licenses 2

Addresses

Other names 1

• SS HOLDINGS, LLC Other name

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1477168417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 FLIPPIN ST",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380681801",
            "telephone_number": "910-286-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 FLIPPIN ST",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380681801",
            "telephone_number": "910-286-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "TEKEDRION",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-286-3424"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SS HOLDINGS, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Somerville, TN
• Providers in Somerville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.