Individual provider Active NPI

Stuart Worth St.George, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1023556917
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005071 Issued in GA
Practice address
139 Renaissance Pkwy NE
Atlanta, GA 30308-2324
Phone
(404) 874-2224
Fax
(404) 874-2353
NPI assigned
Feb 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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 CSW005071 GA Primary

Addresses

Primary practice location

139 Renaissance Pkwy NE
Atlanta, GA 30308-2324

Mailing address

139 Renaissance Pkwy NE
Atlanta, GA 30308-2324
Phone (404) 874-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 19, 2024 through Jan 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW005071GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ascensa Health, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/stjudesrecovery/r4/

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1023556917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 RENAISSANCE PKWY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082324",
            "telephone_number": "404-874-2224",
            "fax_number": "404-874-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 RENAISSANCE PKWY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082324",
            "telephone_number": "404-874-2224",
            "fax_number": "404-874-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.GEORGE",
        "first_name": "STUART",
        "middle_name": "WORTH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.