Active NPI
Emotional Recovery and Wellness Center, Inc
- Clinical Social Worker
- Thomasville, NC
National Provider Identifier
1891902607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- COO2426
- Legal business name
- EMOTIONAL RECOVERY AND WELLNESS CENTER, INC
- Practice address
- 25 W Guilford St
Suite 7
Thomasville, NC 27360-3945 - Phone
- (336) 474-7530
- Fax
- (336) 474-7531
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul M Herin, LCSW
- Title
- President
- Phone
- (336) 474-7530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | COO2426 | NC | Primary |
Addresses
Primary practice location
25 W Guilford St
Suite 7
Thomasville, NC 27360-3945
Mailing address
25 W Guilford St
Suite 7
Thomasville, NC 27360-3945
Phone (336) 474-7530
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 555099 | Other | NC | VALUOPTIONS |
| 6106135 | Medicaid | NC | |
| NJ135 | Other | NC | BCBSNC |
National Provider Directory
National Provider DirectoryLocations
25 W Guilford St
Ste 7
Thomasville, NC 27360
Phone (336) 474-7530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232064000000",
"number": "1891902607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 W GUILFORD ST",
"address_2": "SUITE 7",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273603945",
"telephone_number": "336-474-7530",
"fax_number": "336-474-7531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W GUILFORD ST",
"address_2": "SUITE 7",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273603945",
"telephone_number": "336-474-7530",
"fax_number": "336-474-7531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMOTIONAL RECOVERY AND WELLNESS CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2009-01-16",
"status": "A",
"authorized_official_last_name": "HERIN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-474-7530",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "COO2426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUOPTIONS",
"identifier": "555099",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106135",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "NJ135",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.