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ANUVIA PREVENTION AND RECOVERY CENTER INC NPI 1740648781


NPI Information

NPI: 1740648781
Provider Name: ANUVIA PREVENTION AND RECOVERY CENTER, INC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 34D2216224

Address:
429 BILLINGSLEY RD
CHARLOTTE, NC
ZIP 28211
Phone: (704) 445-6900
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ANUVIA PREVENTION AND RECOVERY CENTER, INC is a clinical social worker in Charlotte, 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. ANUVIA PREVENTION AND RECOVERY CENTER, INC NPI is 1740648781. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

429 BILLINGSLEY RD
CHARLOTTE, NC
ZIP 28211-007
Phone: (704) 445-6900

The provider's authorized official is Valerie Kopetzky .
The authorized official title is Director Of Finance And Admin and has the following contact phone number (704) 927-8802.

The CLIA number assigned to this NPI record is 34D2216224 - other - substance use with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2016 and was last updated on 2/5/2016.


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
1101Y00000XCounselorMHL0601300NORTH CAROLINANo
2363L00000XNurse PractitionerMHL0601300NORTH CAROLINANo
31041C0700XSocial WorkerClinicalMHL0601300NORTH CAROLINAYes

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
16005408MEDICAIDNORTH CAROLINA
200362OTHERNORTH CAROLINABCBS

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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