Organization Active NPI

Solutions 2 Wellness and Recovery,LLC

  • Clinical Social Worker
  • Douglasville, GA
National Provider Identifier
1770932105
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005080 Issued in GA
Legal business name
SOLUTIONS 2 WELLNESS AND RECOVERY,LLC
Practice address
2256 Greenwood Meadows Lane
Douglasville, GA 30135
Phone
(470) 363-5625
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Authorized official

Name
Mrs. Patricia Warren, LCSWNPI 1497135131
Title
Ceo
Phone
(470) 363-5625

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 CSW005080 GA Primary

Addresses

Primary practice location

2256 Greenwood Meadows Lane
Douglasville, GA 30135

Mailing address

2257 Greenwood Meadows LN
Douglasville, GA 30135-1365
Phone (470) 363-5625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160907000705 GA Part B Supplier - Clinic/Group Practice 9739475450 Receives reassigned benefits from 1 practitioner
Practice locations: Douglasville, GA

National Provider Directory

National Provider Directory

Locations

8312 Office Park Dr
Ste 1A
Douglasville, GA 30134

8317 Office Park Dr
Ste 1E
Douglasville, GA 30134
Phone (470) 363-5325

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": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1770932105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 GREENWOOD MEADOWS LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351365",
            "telephone_number": "470-363-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 GREENWOOD MEADOWS LANE",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "470-363-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLUTIONS 2 WELLNESS AND RECOVERY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-363-5625",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.