Active NPI
Emily Siegel, LMSW
- Social Worker
- Roswell, GA
National Provider Identifier
1053779603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 006024
- Practice address
- 11755 Pointe PL
Suite B
Roswell, GA 30076-4656 - Phone
- (678) 822-7030
- NPI assigned
- Feb 10, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 006024 | GA | Primary |
Addresses
Primary practice location
11755 Pointe PL
Suite B
Roswell, GA 30076-4656
Mailing address
11755 Pointe PL
Suite B
Roswell, GA 30076-4656
Phone (678) 822-7030
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006024 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1053779603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11755 POINTE PL",
"address_2": "SUITE B",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764656",
"telephone_number": "678-822-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11755 POINTE PL",
"address_2": "SUITE B",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764656",
"telephone_number": "678-822-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "EMILY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "006024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.