=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588586838
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | IMPACT SOCIAL SOLUTIONS LLP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2026
-----------------------------------------------------
Last Update Date | 07/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 115 AIKENS CTR STE 11A
-----------------------------------------------------
City | MARTINSBURG
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25404-6210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-838-0247
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 115 AIKENS CTR STE 11A
-----------------------------------------------------
City | MARTINSBURG
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25404-6210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-838-0247
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF SNS, CO-OWNER
-----------------------------------------------------
Name | TAMMY BESAW
-----------------------------------------------------
Credential | MS/LSW
-----------------------------------------------------
Telephone | 304-702-2136
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253J00000X
-----------------------------------------------------
Taxonomy Name | Foster Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------