Organization Active NPI

Saved Foundation

  • Clinical Social Worker
  • Eden, NC
National Provider Identifier
1912418765
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012070 Issued in NC
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

Updated by the provider on Oct 19, 2017

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.