Jacqueline Marsha Awe, LCSW, MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007229 Issued in GA

Practice address

164 Taylor CT
Richmond Hill, GA 31324-5359

Phone

(912) 656-1993

NPI assigned

May 15, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2021.

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1053985960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 TAYLOR CT",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313245359",
            "telephone_number": "912-656-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 TAYLOR CT",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313245359",
            "telephone_number": "912-656-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWE",
        "first_name": "JACQUELINE",
        "middle_name": "MARSHA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Arnold, RDN
• Kennedy Askew, RBT
• Assessments Continuing Education and Clinical Supervision, Inc. (Aces)
• Daniella Atilano, PT, DPT
• Atlantic Coast Gynecology Inc.
• Conner S Bailey
• Meleane Balabagno, OTA
• Nacole Ballard, LAPC, NCC, CTP
• Stephanie Eileen Banasik, ADULT NURSE PRACTITI
• Daniela Patricia Barahona Miranda

• All providers in Richmond Hill, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.