Clinical Community Solutions LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

9058 Issued in NC

Legal business name

CLINICAL COMMUNITY SOLUTIONS LLC

Practice address

4312 Waterford Valley Dr
Suite 1321
Durham, NC 27713-8342

Phone

(585) 975-9216

NPI assigned

Jan 9, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Russell Anthony Marino, LPC

Title

LPC / Ceo

Phone

(585) 975-9216

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452297600000",
    "number": "1629434451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 WATERFORD VALLEY DR",
            "address_2": "SUITE 1321",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138342",
            "telephone_number": "585-975-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 WATERFORD VALLEY DR",
            "address_2": "SUITE 1321",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138342",
            "telephone_number": "585-975-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL COMMUNITY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-09",
        "last_updated": "2016-01-09",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "LPC / CEO",
        "authorized_official_telephone_number": "585-975-9216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "9058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1538415682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Cline, CRNA
• Rachel Holston Cline, PA
• Clinic Pharmacy
• Clinic Pharmacy Croasdaile, LLC
• Clinic Pharmacy of Durham Inc
• Chelsea Marley Clinton, M.D.
• Lauren Dionne Clise, PA-C
• Kelly Cloninger
• Jeylan Suzan Close, MD
• Joy Ellen Close, LCSW

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.