Organization Active NPI

First Step Forward Counseling and Wellness

  • Clinical Social Worker
  • Concord, NC
National Provider Identifier
1790315596
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FIRST STEP FORWARD COUNSELING AND WELLNESS
Practice address
41 Union Street
Concord, NC 28025-5009
Phone
(704) 918-5334
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Matthew Mills, LCSWNPI 1114436110
Title
Clinician
Phone
(704) 918-5334

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

41 Union Street
Concord, NC 28025-5009

Mailing address

41 Union St S Ste B
Concord, NC 28025-5009

Other names 1

  • First Step Forward Counseling and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

41 Union St S
Ste B
Concord, NC 28025
Phone (704) 918-5334

41 Union St S
Concord, NC 28025
Phone (704) 918-5334

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": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1790315596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNION ST S STE B",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 UNION STREET",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255009",
            "telephone_number": "704-918-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP FORWARD COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "704-918-5334",
        "authorized_official_credential": "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": "First Step Forward Counseling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.