Individual provider Active NPI

Tzipporah R Gerson-Miller, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1013260504
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005776 Issued in GA
Practice address
1820 The Exchange SE Ste 550
Atlanta, GA 30339-2088
Phone
(404) 913-1496
NPI assigned
Oct 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005776 GA Primary

Addresses

Primary practice location

1820 The Exchange SE Ste 550
Atlanta, GA 30339-2088

Mailing address

4001 Riverlook Pkwy SE Unit 207
Marietta, GA 30067-4523
Phone (706) 424-2729

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Woman Embodied LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

1820 The Exchange SE
Ste 550
Atlanta, GA 30339
Phone (404) 585-7223

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1013260504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 RIVERLOOK PKWY SE UNIT 207",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674523",
            "telephone_number": "706-424-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 THE EXCHANGE SE STE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392088",
            "telephone_number": "404-913-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSON-MILLER",
        "first_name": "TZIPPORAH",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.