Az Social Service

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

AZ SOCIAL SERVICE

Doing business as

Az Social Service

Practice address

2205 Edinburgh Way
Garland, TX 75040-1139

Phone

(972) 494-5515

Fax

(214) 227-5448

NPI assigned

Mar 28, 2022

Organization subpart

No

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

Authorized official

Name

Victor Nwaokolo, LMSW/IPR

Title

Administrator

Phone

(979) 494-5515

Specialties & licenses 1

Addresses

Other names 1

• Az Social Service Doing business as

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1477203776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 EDINBURGH WAY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750401139",
            "telephone_number": "972-494-5515",
            "fax_number": "214-227-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 EDINBURGH WAY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750401139",
            "telephone_number": "972-494-5515",
            "fax_number": "214-227-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ SOCIAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "NWAOKOLO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-494-5515",
        "authorized_official_credential": "LMSW/IPR"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Az Social Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Exclusive Provider Organization in Garland, TX
• Providers in Garland, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.