Individual provider Active NPI

Autumn Collier, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1063787141
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004918 Issued in GA
Practice address
2295 Parklake Dr NE Ste 577
Atlanta, GA 30345-2815
Phone
(404) 618-1040
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 CSW004918 GA Primary

Addresses

Primary practice location

2295 Parklake Dr NE Ste 577
Atlanta, GA 30345-2815

Mailing address

2295 Parklake Dr NE Ste 577
Atlanta, GA 30345-2815
Phone (404) 618-1040

Other names 1

  • Autumn Shelton Former name

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
I20250915001167 GA Practitioner - Clinical Social Worker 8729581772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2295 Parklake Dr NE
Suite 577
Atlanta, GA 30345-2815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW004918GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Counseling, LLC Clinical CurrentSince Aug 5, 2025 Accepting new patients
Transitional Family Sevices Past Accepting new patients

Locations

2295 Parklake Dr NE
Ste 577
Atlanta, GA 30345
Phone (404) 618-1040

Organizations & group practices 2

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1063787141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 PARKLAKE DR NE STE 577",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452815",
            "telephone_number": "404-618-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 PARKLAKE DR NE STE 577",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452815",
            "telephone_number": "404-618-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "AUTUMN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "SHELTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.