Organization Active NPI

Loving Faith, PLLC

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1851574321
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
COO5741 Issued in NC
Legal business name
LOVING FAITH, PLLC
Practice address
2932 Breezewood Ave
206
Fayetteville, NC 28303-5505
Phone
(910) 366-6314
Fax
(910) 482-3877
NPI assigned
Dec 7, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Mr. Chris L Edmonds, LCSW
Title
Owner
Phone
(910) 366-6314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X COO5741 NC Primary

Addresses

Primary practice location

2932 Breezewood Ave
206
Fayetteville, NC 28303-5505

Mailing address

2932 Breezewood Ave
206
Fayetteville, NC 28303-5505
Phone (910) 366-6314

Other identifiers 1

IdentifierTypeStateIssuer
6106733MedicaidNC

National Provider Directory

National Provider Directory

Locations

2932 Breezewood Ave
Ste 101
Fayetteville, NC 28303
Phone (910) 223-9200

2932 Breezewood Ave
Ste 206
Fayetteville, NC 28303
Phone (910) 366-6314

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1851574321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 BREEZEWOOD AVE",
            "address_2": "206",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035505",
            "telephone_number": "910-366-6314",
            "fax_number": "910-482-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 BREEZEWOOD AVE",
            "address_2": "206",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035505",
            "telephone_number": "910-366-6314",
            "fax_number": "910-482-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING FAITH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-366-6314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO5741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106733",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.