Resurgence Family Preservation Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016895 Issued in PA

Legal business name

RESURGENCE FAMILY PRESERVATION SERVICES, LLC

Practice address

2330 Vartan Way
Suite 135
Harrisburg, PA 17110-9763

Phone

(717) 695-4525

Fax

(717) 798-9283

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Norman L Stovall III, MSW, LCSW

Title

Director of Clinical Services/Owner

Phone

(717) 695-4525

Specialties & licenses 1

Addresses

Other names 1

• RESURGENCE FAMILY PRESERVATION SERVICES Doing business as

Locations

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459036800000",
    "number": "1619260916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 VARTAN WAY",
            "address_2": "SUITE 135",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109763",
            "telephone_number": "717-695-4525",
            "fax_number": "717-798-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 VARTAN WAY",
            "address_2": "SUITE 135",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109763",
            "telephone_number": "717-695-4525",
            "fax_number": "717-798-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCE FAMILY PRESERVATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2016-03-27",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES/OWNER",
        "authorized_official_telephone_number": "717-695-4525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESURGENCE FAMILY PRESERVATION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2016; 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.