Provider Demographics
NPI:1326559212
Name:SOCIAL WORK SOLUTIONS
Entity Type:Organization
Organization Name:SOCIAL WORK SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:VENABLE-HUMPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:334-730-0909
Mailing Address - Street 1:1300 E MAIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-5528
Mailing Address - Country:US
Mailing Address - Phone:334-730-0909
Mailing Address - Fax:
Practice Address - Street 1:1300 E MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-5528
Practice Address - Country:US
Practice Address - Phone:334-730-0909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1464C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty