NPIMap

Organization Active NPI

Social Werx, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Merrillville, IN
National Provider Identifier
1952979718
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SOCIAL WERX, LLC
Doing business as
Social Werx, LLC
Practice address
2912 W 84TH PL
Merrillville, IN 46410-7288
Phone
(219) 670-0365
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Comer, LCSW,LCACNPI 1477121879
Title
Ceo
Phone
(219) 670-3655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

2912 W 84TH PL
Merrillville, IN 46410-7288

Mailing address

2912 W 84TH PL
Merrillville, IN 46410-7288
Phone (219) 670-0365

Other practice location 1

2912 W 84th Pl
Merrillville, IN 46410-7288
Phone (219) 670-0365

Other identifiers 1

IdentifierTypeStateIssuer
1477121879MedicaidIN

Other names 1

  • Social Werx, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Merrillville Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1952979718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 W 84TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107288",
            "telephone_number": "219-670-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 W 84TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107288",
            "telephone_number": "219-670-0365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2912 W 84th Pl",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107288",
            "country_code": "US",
            "telephone_number": "219-670-0365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCIAL WERX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-670-3655",
        "authorized_official_credential": "LCSW,LCAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477121879",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Merrillville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2912 W 84th Pl",
            "city": "Merrillville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464107288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Social Werx, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.