Innovative Support Services LLC

Clinical Social Worker · Roaring Spring, PA

Organization Active NPI

NPI number 1639797657

Practice location

8344 Woodbury Pike Unit 101
Roaring Spring, PA 16673-8107
Phone
(814) 934-4351
Fax
(814) 201-2035

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NPI record

NPI
1639797657
Entity type
Organization (Type 2)
Enumeration date
July 7, 2020
Last updated
July 7, 2020
Certified
July 7, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —
Psychiatric/Mental Health Nurse Practitioner 363LP0808X — —

Mailing address

630 Pleasant Valley Blvd Ste C
Altoona, PA 16602-4871
Phone
(814) 631-9477
Fax
(814) 201-2035

Authorized official

Name
Ms. Jodi Beth Bishop
Title
CEO
Phone
(814) 631-9477

About Innovative Support Services LLC

Innovative Support Services LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 8344 Woodbury Pike Unit 101, Roaring Spring, PA 16673-8107. The NPI number 1639797657 was assigned on July 7, 2020 and the record was last updated on July 7, 2020.

The authorized official for this organization is Ms. Jodi Beth Bishop, CEO.

Frequently asked questions

What is the NPI number of Innovative Support Services LLC?

The NPI number is 1639797657.

What is the phone number of Innovative Support Services LLC?

The phone number listed for the practice location is (814) 934-4351.

Where is Innovative Support Services LLC located?

8344 Woodbury Pike Unit 101, Roaring Spring, PA 16673-8107.

What is the taxonomy code for Innovative Support Services LLC?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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