Individual provider Active NPI

Robert Travis Hurd, LCSW

  • Clinical Social Worker
  • Calhoun, GA
National Provider Identifier
1063638732
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003770 Issued in GA
Practice address
105 Laurel Creek Rd SE Ste 11a
Calhoun, GA 30701-7011
Phone
(678) 986-5060
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3770 GA
Clinical Social Worker 1041C0700X CSW003770 GA Primary

Addresses

Primary practice location

105 Laurel Creek Rd SE Ste 11a
Calhoun, GA 30701-7011

Mailing address

109 Derby LN
Calhoun, GA 30701-2012
Phone (678) 986-5060

Other practice location 1

203 N Thornton Ave
Dalton, GA 30720-4273
Phone (678) 986-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230906001477 GA Practitioner - Clinical Social Worker 3375906555 Practice locations: Dalton, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3770GAMDClinical Social Worker
CSW003770GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Travis Hurd Clinical PastSince Jan 5, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1063638732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DERBY LN",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012012",
            "telephone_number": "678-986-5060",
            "fax_number": "706-275-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LAUREL CREEK RD SE STE 11A",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017011",
            "telephone_number": "678-986-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 N Thornton Ave",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307204273",
            "country_code": "US",
            "telephone_number": "678-986-5060",
            "fax_number": "706-275-8134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURD",
        "first_name": "ROBERT",
        "middle_name": "TRAVIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "3770",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.