Therapeutic Connections

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003379 Issued in GA

Legal business name

THERAPEUTIC CONNECTIONS

Practice address

119 Autumn Creek Dr
Dallas, GA 30157-7186

Phone

(678) 542-7690

NPI assigned

Mar 25, 2010

Last updated

Mar 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Latiya Jackson Oshodi, LCSWNPI 1902039738

Title

Owner

Phone

(678) 542-7690

Specialties & licenses 1

Addresses

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.

• Latiya Oshodi, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1902039738
  Authorized official Same address or phone

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1659695286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AUTUMN CREEK DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301577186",
            "telephone_number": "678-542-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 AUTUMN CREEK DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301577186",
            "telephone_number": "678-542-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "OSHODI",
        "authorized_official_first_name": "LATIYA",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-542-7690",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Dallas, GA
• Providers in Dallas, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.