Carolyn Minor LCSW, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW001499 Issued in GA

Legal business name

CAROLYN MINOR LCSW, INC

Practice address

175 Langley Dr
Ste B1
Lawrenceville, GA 30046-6929

Phone

(770) 995-7789

Fax

(770) 995-0171

NPI assigned

Mar 26, 2014

Last updated

Mar 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Minor, LCSW

Title

Owner

Phone

(770) 995-7789

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1053738294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LANGLEY DR",
            "address_2": "STE B1",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466929",
            "telephone_number": "770-995-7789",
            "fax_number": "770-995-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LANGLEY DR",
            "address_2": "STE B1",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466929",
            "telephone_number": "770-995-7789",
            "fax_number": "770-995-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN MINOR LCSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-995-7789",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retha Mae Carlton, MPH OTR/L CHT
• Joi Carmichael, RN
• Matthew Carmichael, M.D.
• Alan K Carnes, MD
• Devonne Angelic Carney, LPC, ED.S
• Jason Caron, NP-C
• Bevin Carpenter
• Timothy Norman Carrega, NP
• Malynda Ann Carruth, PT, DPT
• Holly Carson, PT

• Clinical Social Worker in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.