Active NPI
Sharon Jean Foley
- Clinical Social Worker
- Roswell, GA
National Provider Identifier
1063520476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2402
- Practice address
- 625 Colonial Park Drive
Suite 203
Roswell, GA 30075-3758 - Phone
- (770) 649-4833
- Fax
- (770) 552-7399
- NPI assigned
- Aug 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2402 | GA | Primary |
Addresses
Primary practice location
625 Colonial Park Drive
Suite 203
Roswell, GA 30075-3758
Mailing address
510 Indigo Drive
Roswell, GA 30075-2858
Phone (770) 649-4833
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 |
|---|---|---|---|
| 2402 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063520476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 INDIGO DRIVE",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752858",
"telephone_number": "770-649-4833",
"fax_number": "770-552-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 COLONIAL PARK DRIVE",
"address_2": "SUITE 203",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753758",
"telephone_number": "770-649-4833",
"fax_number": "770-552-7399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLEY",
"first_name": "SHARON",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "2402",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.