Active NPI
Santia Sade Stevenson, LMSW
- Social Worker
- Snellville, GA
National Provider Identifier
1063009306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW007309
- Practice address
- 1350 Scenic Hwy N
Suite 266
Snellville, GA 30078 - Phone
- (770) 569-3532
- Fax
- (770) 358-5200
- NPI assigned
- Dec 21, 2020
- 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 | MSW007309 | GA | Primary |
Addresses
Primary practice location
1350 Scenic Hwy N
Suite 266
Snellville, GA 30078
Mailing address
P.O. Box 1132
Oxford., GA 30054
Phone (678) 724-7805
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW007309 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McIntosh Trail Community Service Board | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Barnesville, GA
- NPI 1124295571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1063009306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1132",
"city": "OXFORD.",
"state": "GA",
"postal_code": "30054",
"telephone_number": "678-724-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 SCENIC HWY N",
"address_2": "SUITE 266",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "30078",
"telephone_number": "770-569-3532",
"fax_number": "770-358-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "SANTIA",
"middle_name": "SADE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2024-04-16",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW007309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.