The Live Oak Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003661 Issued in GA

Legal business name

THE LIVE OAK CENTER, LLC

Practice address

8 Commerce PL
Savannah, GA 31406-3615

Phone

(912) 661-3162

NPI assigned

Aug 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kelly L. Epting, L.C.S.W.NPI 1245422583

Title

Business Owner/Psychotherapist

Phone

(912) 661-3162

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelly L. Epting, L.C.S.W.

  • Clinical Social Worker
  • Fort Stewart, GA
  • NPI 1245422583

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186790400000",
    "number": "1487846697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHESTLEY PL",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064200",
            "telephone_number": "912-661-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 COMMERCE PL",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063615",
            "telephone_number": "912-661-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVE OAK CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A",
        "authorized_official_last_name": "EPTING",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "912-661-3162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Optical Shop

• All providers in Savannah, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; 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.