Sutter Compass Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005790 Issued in GA

Legal business name

SUTTER COMPASS THERAPY, LLC

Practice address

2350 Clayton St
Macon, GA 31204-3045

Phone

(478) 238-0462

Fax

(478) 257-8247

NPI assigned

May 24, 2016

Last updated

May 24, 2016By 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

Mr. Kristopher M Sutter, LCSW, LISW-S, MSW

Title

Owner, Therapist, Social Worker

Phone

(740) 591-1741

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1902253511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 CLAYTON ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043045",
            "telephone_number": "478-238-0462",
            "fax_number": "478-257-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 CLAYTON ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043045",
            "telephone_number": "478-238-0462",
            "fax_number": "478-257-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER COMPASS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, THERAPIST, SOCIAL WORKER",
        "authorized_official_telephone_number": "740-591-1741",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LISW-S, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Macon, GA
• Providers in Macon, 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 24, 2016; 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.