Individual provider Active NPI

Brittany Marie Talkin, LCSW

  • Clinical Social Worker
  • Hull, GA
National Provider Identifier
1033895008
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008958 Issued in GA
Practice address
1077 Willis Glenn Rd
Hull, GA 30646
Phone
(706) 201-9455
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008958 GA Primary
Social Worker 104100000X 008161 GA

Addresses

Primary practice location

1077 Willis Glenn Rd
Hull, GA 30646

Mailing address

1077 Willis Glenn Rd
Hull, GA 30646
Phone (706) 201-9455

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
I20241126001539 GA Practitioner - Clinical Social Worker 6204361355 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW008958GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Mountains Community Services CurrentSince Sep 1, 2024 Accepting new patients

Locations

150A Johnson St
Dahlonega, GA 30533
Phone (706) 864-6822

915 Interstate Ridge Dr
Gainesville, GA 30501
Phone (516) 493-2203

915 Interstate Ridge Dr
Ste G
Gainesville, GA 30501
Phone (678) 207-1800

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Mountains Community Services 27 clinicians

Practice addresses (Care Compare)

915 Interstate Ridge Dr
Gainesville, GA 30501-7076
Phone (678) 207-1800

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1033895008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 WILLIS GLENN RD",
            "city": "HULL",
            "state": "GA",
            "postal_code": "30646",
            "telephone_number": "706-201-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 WILLIS GLENN RD",
            "city": "HULL",
            "state": "GA",
            "postal_code": "30646",
            "telephone_number": "706-201-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALKIN",
        "first_name": "BRITTANY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008958",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "008161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hull, GA

Sources for this page

Verify at the official NPI Registry.