Individual provider Active NPI

Mary Katherine Tauscher, LCSW

  • Clinical Social Worker
  • Alpharetta, GA
National Provider Identifier
1053753145
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004941 Issued in GA
Practice address
3075 Greens Creek LN
Alpharetta, GA 30009-7145
Phone
(678) 296-8929
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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 CSW004941 GA Primary

Addresses

Primary practice location

3075 Greens Creek LN
Alpharetta, GA 30009-7145

Mailing address

3075 Greens Creek LN
Alpharetta, GA 30009-7145
Phone (678) 296-8929

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Community Service Board CurrentSince Jul 16, 2013 Accepting new patients
Dekalb Community Service Board PastSince Jul 16, 2013 Accepting new patients

Locations

3110 Clifton Springs Rd
Decatur, GA 30034
Phone (404) 243-9500

445 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

3100 Clifton Springs Rd
Decatur, GA 30034
Phone (404) 241-5032

Organizations & group practices 2

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1053753145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 GREENS CREEK LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097145",
            "telephone_number": "678-296-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 GREENS CREEK LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097145",
            "telephone_number": "678-296-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUSCHER",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.