Marvelously Adorned, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005680 Issued in GA

Legal business name

MARVELOUSLY ADORNED, LLC

Practice address

470 Commerce Dr Ste 538
Peachtree City, GA 30269-3517

Phone

(404) 594-3857

Fax

(404) 777-9348

NPI assigned

Nov 8, 2017

Last updated

Jan 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lashanda L Edwards, LCSWNPI 1740793199

Title

Therapist/Clinican/Counselor

Phone

(404) 594-3857

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lashanda L. Edwards, LCSW

  • Clinical Social Worker
  • Peachtree City, GA
  • NPI 1740793199
  NPD Authorized official

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1023521473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302900084",
            "telephone_number": "404-594-3857",
            "fax_number": "404-777-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 COMMERCE DR STE 538",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693517",
            "telephone_number": "404-594-3857",
            "fax_number": "404-777-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVELOUSLY ADORNED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LASHANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST/CLINICAN/COUNSELOR",
        "authorized_official_telephone_number": "404-594-3857",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "CSW005680",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Lynn O.D. & Associates, P.C. (Visionworks)
• Kevin Dwain Marler, M.D.
• Joshua Adam Martin, PA-C
• Stephanie Martin
• Alfonso Martinez, PH.D.
• Sydney Mason Weaver, ARNP
• Amanda Masters, MA
• Teressa Mathurin, LPC
• Stephen L Matlaga, DMD
• Benjamin Chijioke Maxwell

• Clinical Social Worker in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.