TRACK HOUSE LIFE, LLC
NPI 1447302914
Social Worker - Clinical in Phoenix, AZ

NPI Status: Active since January 17, 2007

Contact Information

4205 N 7TH AVE STE 307
PHOENIX, AZ
ZIP 85013
Phone: (602) 522-2595
Fax: (602) 258-4996

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  • Organization
  • Social Worker
  • Clinical

About TRACK HOUSE LIFE, LLC

This page provides the complete NPI Profile along with additional information for Track House Life, Llc, a provider established in Phoenix, Arizona operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1447302914 assigned on January 2007. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Angela Roberson Lcsw (President)

NPI
1447302914
Provider Name
TRACK HOUSE LIFE, LLC
Entity Type
Organization
Location Address
4205 N 7TH AVE STE 307 PHOENIX, AZ 85013
Location Phone
(602) 522-2595
Location Fax
(602) 258-4996
Mailing Address
4205 N 7TH AVE STE 307 PHOENIX, AZ 85013
Mailing Phone
(602) 522-2595
Mailing Fax
(602) 258-4996
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2007
Last Update Date
06-19-2018
Code Navigator

A clinical social worker like Track House Life, Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

CLSG7622 (AZ)
3261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
4261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGELA ROBERSON LCSW

Authorized Official Title
PRESIDENT
Authorized Official Phone
(602) 522-2595

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447302914
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
248760492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 6 + 0 + 4 + 9 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1447302914 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437201852 ANGELA ROBERSON LCSW
Individual
Social Worker (Clinical)4205 N 7TH AVE STE 307
PHOENIX, AZ 85013
(602) 522-2595
1659830552 MADINAH SIMPSON RN
Individual
Registered Nurse4205 N 7TH AVE STE 307
PHOENIX, AZ 85013
(602) 522-2595

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447302914, enumerated in the NPI registry as an "organization" on January 17, 2007

The provider is located at 4205 N 7th Ave Ste 307 Phoenix, Az 85013 and the phone number is (602) 522-2595

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on January 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.