Individual provider Active NPI

Michael Alexander Brittain, LCSW

  • Clinical Social Worker
  • East Point, GA
National Provider Identifier
1023240983
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003924 Issued in GA
Practice address
2675 N Martin St
Building 700, Suite a
East Point, GA 30344-6981
Phone
(404) 321-6111
Fax
(404) 327-4028
NPI assigned
Aug 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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 CSW003924 GA Primary

Addresses

Primary practice location

2675 N Martin St
Building 700, Suite a
East Point, GA 30344-6981

Mailing address

2675 N Martin St
Building 700, Suite a
East Point, GA 30344-6981
Phone (404) 321-6111

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

LicenseStateTypeSpecialty
CSW003924GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1023240983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N MARTIN ST",
            "address_2": "BUILDING 700, SUITE A",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446981",
            "telephone_number": "404-321-6111",
            "fax_number": "404-327-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N MARTIN ST",
            "address_2": "BUILDING 700, SUITE A",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446981",
            "telephone_number": "404-321-6111",
            "fax_number": "404-327-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTAIN",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.