Individual provider Active NPI

Abbie Larena Becker, LMSW

  • Social Worker
  • Decatur, GA
National Provider Identifier
1053078378
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW009748 Issued in GA
Practice address
317 W Hill St Ste 101
Decatur, GA 30030-4368
Phone
(404) 482-2048
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW009748 GA Primary

Addresses

Primary practice location

317 W Hill St Ste 101
Decatur, GA 30030-4368

Mailing address

2020 Shallowford Park MNR
Roswell, GA 30075-3249
Phone (678) 447-9771

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.eastatlantacounseling.com/ EAST ATLANTA COUNSELING SERVICES INC.

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

State licenses

LicenseStateTypeSpecialty
MSW009748GAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1053078378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SHALLOWFORD PARK MNR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753249",
            "telephone_number": "678-447-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W HILL ST STE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304368",
            "telephone_number": "404-482-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ABBIE",
        "middle_name": "LARENA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW009748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.eastatlantacounseling.com/",
            "affiliation": "Y",
            "endpointDescription": "Business Website",
            "affiliationName": "EAST ATLANTA COUNSELING SERVICES INC.",
            "address_1": "317 W Hill St Ste 101",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300304368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.