Active NPI
The Concrete Rose, LLC
Doing business as The Concrete Rose: Therapy Services
- Clinical Social Worker
- Beckley, WV
National Provider Identifier
1548976665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE CONCRETE ROSE, LLC
- Doing business as
- The Concrete Rose: Therapy Services
- Practice address
- 110 Main St
Beckley, WV 25801-4611 - Phone
- (304) 553-0756
- NPI assigned
- Jan 24, 2023
- Last updated
- Apr 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Desiree Hughes, MS, MSW, LICSW/LCSW
- Title
- Owner/Provider
- Phone
- (304) 712-7374
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
110 Main St
Beckley, WV 25801-4611
Mailing address
PO Box 821
Oak Hill, WV 25901-0821
Phone (304) 712-7374
Other names 1
- The Concrete Rose: Therapy Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Beckley, WV
- NPI 1558846048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681776000000",
"number": "1548976665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 821",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259010821",
"telephone_number": "304-712-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MAIN ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014611",
"telephone_number": "304-553-0756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CONCRETE ROSE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-24",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A",
"authorized_official_last_name": "HUGHES",
"authorized_official_first_name": "DESIREE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "304-712-7374",
"authorized_official_credential": "MS, MSW, LICSW/LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Concrete Rose: Therapy Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.