INTERCONNECTION WELLNESS LLC - NPI 1780462473 - Social Worker in Lawrenceville, GA

Q: What is Interconnection Wellness LLC's NPI number?

The NPI number for Interconnection Wellness LLC is 1780462473. It was assigned to this organization in the NPPES registry on September 15, 2023.

Q: What is Interconnection Wellness LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Interconnection Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERCONNECTION WELLNESS LLC (NPI 1780462473) is a healthcare organization registered as a clinical in Lawrenceville, Georgia and active in the NPI registry since September 2023. The organization lists Kristal Alexis Lewis, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1780462473

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameINTERCONNECTION WELLNESS LLC

Location Address113 S PERRY ST STE 206Lawrenceville, GA 30046-4811

Mailing Address113 S Perry St, Suite 206 #9320Lawrenceville, GA 30046-4811 · (470) 369-0957

Phone(470) 326-6717

Organization SubpartNo

Authorized OfficialKristal Alexis LewisClinical Social Worker · (470) 369-0957

Enumeration DateSeptember 15, 2023

Last NPPES UpdateJanuary 19, 2024

NPPES CertifiedJanuary 19, 2024

✔ NPI 1780462473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

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.

113 S PERRY ST STE 206, Lawrenceville, GA 30046

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RECOVER STRONGER PHYSICAL THERAPY LLC DANIELLE KERSHNER SOLE MBR

Physical Therapist