Organization Active NPI

Remedy & Rise PLLC

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1760259261
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REMEDY & RISE PLLC
Practice address
433 W End Blvd
Winston Salem, NC 27101-1120
Phone
(336) 979-6070
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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

Authorized official

Name
Victoria Lydon, MSW, LCSWNPI 1891324968
Title
Managing Member
Phone
(336) 979-6070

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

433 W End Blvd
Winston Salem, NC 27101-1120

Mailing address

2084 Craig St
Winston Salem, NC 27103-2613
Phone (336) 979-6070

Other names 2

  • Remedy & Rise Wellness Doing business as
  • Remedy & Rise Wellness Collective Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702684800000",
    "number": "1760259261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 CRAIG ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032613",
            "telephone_number": "336-979-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W END BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011120",
            "telephone_number": "336-979-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDY & RISE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "LYDON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "336-979-6070",
        "authorized_official_credential": "MSW, LCSW"
    },
    "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": "Remedy & Rise Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Remedy & Rise Wellness Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; 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.