Organization Active NPI

Emotional Recovery and Wellness Center, Inc

  • Clinical Social Worker
  • Thomasville, NC
National Provider Identifier
1891902607
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
COO2426 Issued in NC
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

Updated by the provider on Jan 16, 2009

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
555099OtherNCVALUOPTIONS
6106135MedicaidNC
NJ135OtherNCBCBSNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.