Active NPI
Marilyn Ashleigh Trudeau-Walls, LMSW
- Social Worker
- Atlanta, GA
National Provider Identifier
1003502428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW009533
- Practice address
- 2727 Paces Ferry Rd SE Ste 260
Atlanta, GA 30339-4053 - Phone
- (678) 758-0616
- NPI assigned
- Apr 18, 2023
- Last updated
- Apr 18, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW009533 | GA | Primary |
Addresses
Primary practice location
2727 Paces Ferry Rd SE Ste 260
Atlanta, GA 30339-4053
Mailing address
1103 Park BRG
Acworth, GA 30101-7212
Phone (678) 575-8384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW009533 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Sean Michael Hirt, Inc | Current | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 260
Atlanta, GA 30339
Phone (678) 758-0616
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Atlanta, GA
- NPI 1275230369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1003502428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 PARK BRG",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301017212",
"telephone_number": "678-575-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 PACES FERRY RD SE STE 260",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303394053",
"telephone_number": "678-758-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUDEAU-WALLS",
"first_name": "MARILYN",
"middle_name": "ASHLEIGH",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW009533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Tru Integrative Health and Wellness, LLC
- Tru Joy Psychiatry
- Melinda Lane Truan, M.ED, LPC
- Kathryn Hawkins Truax, LPC
- Trucare Medical Solutions
- Rylea Trudeau
- William James Trudo, M.D.
- True Healthcare Services, LLC
- True Hope Healthcare Services LLC
- True Integrative Health Corp (Midtown Pediatrics & Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.