Active NPI
Mark Joshua Stanga, LMSW, MS, BS
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1043048085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MSW008489
- Practice address
- 21 Ferry Landing LN NW Unit 1414
Atlanta, GA 30305-1672 - Phone
- (504) 717-6234
- NPI assigned
- Jul 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MSW008489 | GA | Primary |
Addresses
Primary practice location
21 Ferry Landing LN NW Unit 1414
Atlanta, GA 30305-1672
Mailing address
21 Ferry Landing LN NW Unit 1414
Atlanta, GA 30305-1672
Phone (504) 717-6234
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
- Credentials
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW008489 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1043048085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 FERRY LANDING LN NW UNIT 1414",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051672",
"telephone_number": "504-717-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 FERRY LANDING LN NW UNIT 1414",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051672",
"telephone_number": "504-717-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGA",
"first_name": "MARK",
"middle_name": "JOSHUA",
"credential": "LMSW, MS, BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "MSW008489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.