Innovative Options Incorporated

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNOVATIVE OPTIONS INCORPORATED

Practice address

3915 Cascade Rd SW Ste T-138
Atlanta, GA 30331-2009

Phone

(844) 580-5678

Fax

(678) 288-7832

NPI assigned

Aug 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Antoinette Numital Thornton, LCSW

Title

Chief Exective Officer

Phone

(757) 580-5678

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685232000000",
    "number": "1831521533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW STE T-138",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312009",
            "telephone_number": "404-692-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW STE T-138",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312009",
            "telephone_number": "844-580-5678",
            "fax_number": "678-288-7832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2016 Sandtown Rd SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303113420",
            "country_code": "US",
            "telephone_number": "404-692-0818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Great Bridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233206642",
            "country_code": "US",
            "telephone_number": "757-580-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATIVE OPTIONS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2023-05-28",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "NUMITAL",
        "authorized_official_title_or_position": "CHIEF EXECTIVE OFFICER",
        "authorized_official_telephone_number": "757-580-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Innovative Vascular & Vein of Atlanta
• Inside Out Advanced Wound Care LLC

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.