Active NPI
Ivyrose LLC
- Clinical Social Worker
- Greenville, NC
National Provider Identifier
1760228308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- IVYROSE LLC
- Practice address
- 2628 Monk Rd.
Greenville, NC 27834 - Phone
- (252) 714-6329
- NPI assigned
- Jul 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheconia Antionette Harris
- Title
- Owner/Therapist
- Phone
- (252) 714-6329
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2628 Monk Rd.
Greenville, NC 27834
Mailing address
PO Box 804
Bellarthur, NC 27811-0804
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Greenville, NC
- NPI 1689256224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719964800000",
"number": "1760228308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804",
"city": "BELLARTHUR",
"state": "NC",
"postal_code": "278110804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2628 MONK RD.",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-714-6329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVYROSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-03",
"last_updated": "2024-07-03",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "SHECONIA",
"authorized_official_middle_name": "ANTIONETTE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "252-714-6329"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.