Active NPI
Saved Foundation
- Clinical Social Worker
- Eden, NC
National Provider Identifier
1912418765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P012070
- Legal business name
- SAVED FOUNDATION
- Practice address
- 432 N Bridge St
Eden, NC 27288-5648 - Phone
- (336) 617-3152
- NPI assigned
- Oct 19, 2017
- 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
- Paulisha Da-Shawna McIntyre, BSW, MSW,LCSW-A
- Title
- Clinical Social Worker Associate
- Phone
- (336) 455-0018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P012070 | NC | Primary |
Addresses
Primary practice location
432 N Bridge St
Eden, NC 27288-5648
Mailing address
5604 Weslo Willow Cir Apt 217
Greensboro, NC 27409-1708
Phone (336) 455-0018
National Provider Directory
National Provider DirectoryLocations
432 N Bridge St
Eden, NC 27288
Phone (336) 617-3152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508371200000",
"number": "1912418765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 WESLO WILLOW CIR APT 217",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274091708",
"telephone_number": "336-455-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 N BRIDGE ST",
"city": "EDEN",
"state": "NC",
"postal_code": "272885648",
"telephone_number": "336-617-3152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVED FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-19",
"last_updated": "2017-10-19",
"status": "A",
"authorized_official_last_name": "MCINTYRE",
"authorized_official_first_name": "PAULISHA",
"authorized_official_middle_name": "DA-SHAWNA",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER ASSOCIATE",
"authorized_official_telephone_number": "336-455-0018",
"authorized_official_credential": "BSW, MSW,LCSW-A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P012070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.