Source of Clarity Therapeutic Interventions, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOURCE OF CLARITY THERAPEUTIC INTERVENTIONS, PLLC

Practice address

1200 Simmons St
New Bern, NC 28560-4306

Phone

(252) 259-6440

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Chrystal Lakesha SimmonsNPI 1366041865

Title

Owner

Phone

(252) 349-0227

Specialties & licenses 1

Addresses

Other names 1

• SOC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chrystal Lakesha Simmons, LCSW

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1366041865
  NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1730945924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 TEBO RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285628752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SIMMONS ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604306",
            "telephone_number": "252-259-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE OF CLARITY THERAPEUTIC INTERVENTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_middle_name": "LAKESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-349-0227",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Paul Somers, MD
• Joshua Soper, PTA
• Johnna M Sorensen, DPT
• Cara Sorrell
• Soundside Orthotics & Prosthetics, LLC
• Southern Living for Seniors of New Bern NC LLC
• Southern Oaks Dental
• Southmountain Children and Family Services
• Cortney Claressia Sowers, MSW, LCSWA
• Catherine Et Spain, LCSW

• Clinical Social Worker in New Bern, NC
• Providers in New Bern, 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 Nov 5, 2024; 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.