NPIMap

Organization Active NPI

Prosource Therapeutics

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1659530145
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PROSOURCE THERAPEUTICS
Practice address
2920 Trent Rd
New Bern, NC 28562-2030
Phone
(252) 672-8806
NPI assigned
Jun 9, 2008
Last updated
Mar 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Felicia Smith
Title
Owner
Phone
(252) 353-7025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2920 Trent Rd
New Bern, NC 28562-2030

Mailing address

102 Fox Haven Dr Ste a
Greenville, NC 27858-9720
Phone (252) 353-7028

National Provider Directory

National Provider Directory
Tax ID family
Prosource Therapeutics LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1659530145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FOX HAVEN DR STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589720",
            "telephone_number": "252-353-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622030",
            "telephone_number": "252-672-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSOURCE THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-353-7025"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.