New River Wellness, PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007213 Issued in NC

Legal business name

NEW RIVER WELLNESS, PA

Practice address

15444 US Highway 17 North
BLDG 233
Hampstead, NC 28443

Phone

(910) 546-5577

Fax

(910) 338-0515

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Marsheila Joyce Tincher, LCSW

Title

Owner/President

Phone

(910) 546-5577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1679959837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SEA GULL LN",
            "city": "N TOPSAIL BEACH",
            "state": "NC",
            "postal_code": "284608289",
            "telephone_number": "859-230-0860",
            "fax_number": "910-338-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15444 US HIGHWAY 17 NORTH",
            "address_2": "BLDG 233",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "28443",
            "telephone_number": "910-546-5577",
            "fax_number": "910-338-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER WELLNESS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "TINCHER",
        "authorized_official_first_name": "MARSHEILA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "910-546-5577",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.