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PROSOURCE THERAPEUTICS, LLC
NPI 1811158546
Social Worker - Clinical in Williamston, NC

Active since June 25, 2008
622 EAST BLVD, WILLIAMSTON, NC 27892(252) 353-7025 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prosource Therapeutics, Llc NPPES

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

PROSOURCE THERAPEUTICS, LLC (NPI 1811158546) is a healthcare organization registered as a clinical in Williamston, North Carolina and active in the NPI registry since June 2008. The organization lists Phyllis Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1811158546
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePROSOURCE THERAPEUTICS, LLC
Location Address622 EAST BLVDWilliamston, NC 27892-2736
Mailing Address102 Fox Haven Dr, Suite AGreenville, NC 27858-9720 · (252) 353-7025
Phone(252) 353-7025
Organization SubpartNo
Authorized OfficialPhyllis SmithOwner · (252) 353-7025
Enumeration DateJune 25, 2008
✔ NPI 1811158546 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.
622 EAST BLVD, Williamston, NC 27892
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prosource Therapeutics, LLC's NPI number?

The NPI number for Prosource Therapeutics, LLC is 1811158546. It was assigned to this organization in the NPPES registry on June 25, 2008.

Where is Prosource Therapeutics, LLC located?

Prosource Therapeutics, LLC is located at 622 East Blvd, Williamston, NC 27892. The listed phone number is (252) 353-7025.

What is Prosource Therapeutics, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Prosource Therapeutics, LLC was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.