Viaduct Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VIADUCT HEALTH, LLC

Doing business as

Viaduct Health

Practice address

230 S Jackson St Ste 219
Albany, GA 31701-2888

Phone

(470) 834-1889

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

Darryl Lamar Brooks, LCSWNPI 1346761269

Title

Chief Executive Officer

Phone

(229) 894-1980

Specialties & licenses 1

Addresses

Other names 1

• Viaduct Health Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Darryl Lamar Brooks Jr., LCSWA

  • Clinical Social Worker
  • Albany, GA
  • NPI 1346761269
  Medicare reassignment Authorized official
• Wanda Brooks, MS, LPC

  • Mental Health Counselor
  • Albany, GA
  • NPI 1336487859
  NPD (past)

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1962177964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6165",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317066165",
            "telephone_number": "229-894-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S JACKSON ST STE 219",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012888",
            "telephone_number": "470-834-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIADUCT HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "229-894-1980",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@viaducthealth.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "230 S Jackson St Ste 219",
            "city": "Albany",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317012888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Viaduct Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Viaduct Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Albany, GA
• Providers in Albany, 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 Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.