NPIMap

Organization Active NPI

Watauga County Department of Social Services

  • Case Management Agency
  • Boone, NC
National Provider Identifier
1972669299
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
104100000X Issued in NC
Legal business name
WATAUGA COUNTY DEPARTMENT OF SOCIAL SERVICES
Practice address
132 Poplar Grove Connector
Suite C
Boone, NC 28607-5915
Phone
(828) 265-8100
Fax
(828) 265-7638
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Mr. Jim Atkinson, MSW
Title
Director
Phone
(828) 265-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 104100000X NC Primary

Addresses

Primary practice location

132 Poplar Grove Connector
Suite C
Boone, NC 28607-5915

Mailing address

132 Poplar Grove Connector
Suite C
Boone, NC 28607-5915
Phone (828) 265-8100

Other identifiers 1

IdentifierTypeStateIssuer
8700092OtherNCMEDICAID AT RISK PROVIDER

National Provider Directory

National Provider Directory
Tax ID family
Watauga County Department of Social Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

132 Poplar Grove Connector
Ste C
Boone, NC 28607
Phone (828) 265-8100

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1972669299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 POPLAR GROVE CONNECTOR",
            "address_2": "SUITE C",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075915",
            "telephone_number": "828-265-8100",
            "fax_number": "828-265-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 POPLAR GROVE CONNECTOR",
            "address_2": "SUITE C",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075915",
            "telephone_number": "828-265-8100",
            "fax_number": "828-265-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA COUNTY DEPARTMENT OF SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-265-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "104100000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID AT RISK PROVIDER",
            "identifier": "8700092",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.