Active Vitality Therapy Solutions, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ACTIVE VITALITY THERAPY SOLUTIONS, LLC

Practice address

221 Ladysmith Dr
Stephens City, VA 22655-3270

Phone

(912) 980-8691

NPI assigned

Feb 17, 2025

Last updated

Feb 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine C Stallings, LCSWNPI 1801561196

Title

Ceo/Therapist

Phone

(912) 980-8691

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Candice Stallings, LCSW

  • Clinical Social Worker
  • Fairbanks, AK
  • NPI 1801561196
  NPD Authorized official

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1881499630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LADYSMITH DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226553270",
            "telephone_number": "912-980-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LADYSMITH DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226553270",
            "telephone_number": "912-980-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE VITALITY THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "912-980-8691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Stephens City, VA
• Providers in Stephens City, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.