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FAMILY SERVICES INC. NPI 1225108707


NPI Information

NPI: 1225108707
Provider Name: FAMILY SERVICES, INC.
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
610 COLISEUM DR
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 722-8173
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FAMILY SERVICES, INC. is a clinical social worker in Winston Salem, NC. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. FAMILY SERVICES, INC. NPI is 1225108707. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

610 COLISEUM DR
WINSTON SALEM, NC
ZIP 27106-325
Phone: (336) 722-8173
Fax: (336) 724-6491

The provider's authorized official is Alfred C Renn .
The authorized official title is President & Ceo and has the following contact phone number (336) 722-8173.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16005392MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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