Individual provider Active NPI

Autumn Hierholzer, LCSW

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1053889766
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006626 Issued in GA
Practice address
445 Winn Way
Decatur, GA 30030
Phone
(404) 294-3835
NPI assigned
Nov 12, 2018
Last updated
Nov 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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 CSW006626 GA Primary

Addresses

Primary practice location

445 Winn Way
Decatur, GA 30030

Mailing address

445 Winn Way
P.O. Box 1648
Decatur, GA 30030
Phone (404) 294-3835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190124002645 GA Practitioner - Clinical Social Worker 9032456363 Reassigns benefits to 2 organizations
I20260401000498 FL Practitioner - Clinical Social Worker 9032456363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Turnwell Mental Health of Georgia PCGroup PAC ID 1658887559, 3 clinicians

Practice addresses (Care Compare)

11125 Jones Bridge Rd
Suite 100
Johns Creek, GA 30022-0001
Phone (678) 383-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW006626GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Behavioral Health CurrentSince May 22, 2024 Accepting new patients
Turnwell Mental Health of Georgia, PC Clinical CurrentSince May 18, 2025 Accepting new patients

Locations

11125 Jones Bridge Rd
Ste 100
Johns Creek, GA 30022
Phone (678) 383-0008

4864 Jimmy Carter Blvd
Ste 205
Norcross, GA 30093
Phone (770) 676-5763

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1053889766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "address_2": "P.O. BOX 1648",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "404-294-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "404-294-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIERHOLZER",
        "first_name": "AUTUMN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.