Inner Awakening Counseling & Consultation, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00942760 Issued in WV

Legal business name

INNER AWAKENING COUNSELING & CONSULTATION, PLLC

Practice address

115 Aikens Ctr Ste 14
Martinsburg, WV 25404-6210

Phone

(304) 820-9365

Fax

(304) 820-9365

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Daniel A. Speis, LICSWNPI 1306382502

Title

Owner

Phone

(304) 820-9365

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

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

• Daniel Speis

  • Clinical Social Worker
  • Martinsburg, WV
  • NPI 1306382502
  Medicare reassignment Care Compare group NPD Authorized official
• Richard L Warren, MSW

  • Clinical Social Worker
  • Pasadena, MD
  • NPI 1881749265

  WV

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1801337100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 AIKENS CTR STE 14",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046210",
            "telephone_number": "304-820-9365",
            "fax_number": "304-820-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 AIKENS CTR STE 14",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046210",
            "telephone_number": "304-820-9365",
            "fax_number": "304-820-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER AWAKENING COUNSELING & CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "SPEIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-820-9365",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00942760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Impact Social Solutions LLP.
• Jamie Dawn Ingle, M.S., CCC-A
• Tabitha Jean Ingold
• Gloria Ingram
• Kasey Ingram
• Christopher Michael Inquanti
• Integrated Medical Clinic
• Intergrated Medical Services, LLC
• Internal Medicine & Geriatric Specialists, Inc.
• Internal Medicine of West Virginia, PLLC

• Clinical Social Worker in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.