Organization Active NPI

Americanwork, LLC

Doing business as Clarvida

  • Mental Illness Community Based Residential Treatment Facility
  • Douglas, GA
National Provider Identifier
1982355244
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
AMERICANWORK, LLC
Doing business as
Clarvida
Practice address
919 Ethel St
Douglas, GA 31533-0138
Phone
(912) 384-8637
NPI assigned
Jan 18, 2022
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Mr. Patrick Waters, LCSWNPI 1831279421
Title
Execurtive Director
Phone
(706) 200-8677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

919 Ethel St
Douglas, GA 31533-0138

Mailing address

1727 Wrightsboro Rd Ste B
Augusta, GA 30904-4049
Phone (706) 736-8170

Other names 1

  • Clarvida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Americanwork LLC37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1982355244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 WRIGHTSBORO RD STE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044049",
            "telephone_number": "706-736-8170",
            "fax_number": "706-736-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 ETHEL ST",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315330138",
            "telephone_number": "912-384-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICANWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "EXECURTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-200-8677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.