Recovery4Life

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RECOVERY4LIFE

Practice address

31 Sherman Ave
Columbus, OH 43205-1421

Phone

(614) 352-6807

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Virginia I Clagg, LISW-S, LICDC, MBANPI 1669911749

Title

Ceo

Phone

(614) 352-6807

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Recovery4Life2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Recovery4Life

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1669130456
  NPD tax ID

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.

• Virginia I Clagg, LISW-S, LICDC, MBA

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1669911749
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723852800000",
    "number": "1689332470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SHERMAN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051421",
            "telephone_number": "614-352-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SHERMAN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051421",
            "telephone_number": "614-352-6807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Hyatts Rd",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430158961",
            "country_code": "US",
            "telephone_number": "614-352-6807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVERY4LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A",
        "authorized_official_last_name": "CLAGG",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-352-6807",
        "authorized_official_credential": "LISW-S, LICDC, MBA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ellis Records, DDS
• Recovery Center of Ohio, LLC
• Recovery Innovations, Inc (Ri International)
• Recovery Innovations, Inc. (RI International)
• Recovery4Life
• Ashley Hope Rector
• Holly Elizabeth Rector, CNP
• Miranda Mae Rector, RN, MSN, ACNP-BC
• Jennifer Recupero
• Red Star Medical Transportation Services LLC

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.