Individual provider Active NPI

Teresa Silva, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1033526736
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005061 Issued in GA
Practice address
979 Glenwood Ave SE
Atlanta, GA 30316-1815
Phone
(678) 849-9463
Fax
(404) 600-8859
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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 CSW005061 GA Primary

Addresses

Primary practice location

979 Glenwood Ave SE
Atlanta, GA 30316-1815

Mailing address

979 Glenwood Ave SE
Atlanta, GA 30316-1815
Phone (678) 849-9463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141021000971 GA Practitioner - Clinical Social Worker 9537380365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3592 Flat Shoals Rd
Decatur, GA 30034-1601
Phone (678) 849-9463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW005061GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Tree Counseling Services, LLC Clinical CurrentSince Sep 15, 2014 Accepting new patients

Locations

1100 Spring St NW
Ste 380
Atlanta, GA 30309
Phone (404) 884-8824

3592 Flat Shoals Rd
Decatur, GA 30034
Phone (678) 849-9463

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1033526736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 GLENWOOD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161815",
            "telephone_number": "678-849-9463",
            "fax_number": "404-600-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 GLENWOOD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161815",
            "telephone_number": "678-849-9463",
            "fax_number": "404-600-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "TERESA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.