Active NPI
Laura Carolyn Jalbert, LCSW
- Clinical Social Worker
- Marietta, GA
National Provider Identifier
1003021510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW 003265
- Practice address
- 2940 Johnson Ferry Rd Ste B-127
Marietta, GA 30062-8361 - Phone
- (678) 637-7166
- Fax
- (770) 414-0804
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW 003265 | GA | Primary |
Addresses
Primary practice location
2940 Johnson Ferry Rd Ste B-127
Marietta, GA 30062-8361
Mailing address
2940 Johnson Ferry Rd Ste B-127
Marietta, GA 30062-8361
Phone (678) 656-8065
Other practice location 1
3438 Laurelwood Ct NE
Roswell, GA 30075-5250
Phone (678) 637-7166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2940 Johnson Ferry Rd
Suite B 127
Marietta, GA 30062-8361
Phone (678) 637-7166
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW 003265 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Transitions, LLC | Clinical | Current | Accepting new patients |
Locations
2940 Johnson Ferry Rd
Ste B127
Marietta, GA 30062
Phone (678) 637-7166
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Marietta, GA
- NPI 1619188273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1003021510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 JOHNSON FERRY RD STE B-127",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300628361",
"telephone_number": "678-656-8065",
"fax_number": "770-414-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 JOHNSON FERRY RD STE B-127",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300628361",
"telephone_number": "678-637-7166",
"fax_number": "770-414-0804"
}
],
"practiceLocations": [
{
"address_1": "3438 Laurelwood Ct NE",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300755250",
"country_code": "US",
"telephone_number": "678-637-7166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JALBERT",
"first_name": "LAURA",
"middle_name": "CAROLYN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW 003265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.