Individual provider Active NPI

Silvia Ann Lynch, LCSW, LCADC

  • Clinical Social Worker
  • Mableton, GA
National Provider Identifier
1063969087
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005817 Issued in GA
Practice address
5800 Oakdale Rd SE Unit 112
Mableton, GA 30126-5769
Phone
(732) 991-6498
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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 CSW005817 GA Primary

Addresses

Primary practice location

5800 Oakdale Rd SE Unit 112
Mableton, GA 30126-5769

Mailing address

5800 Oakdale Rd SE Unit 112
Mableton, GA 30126-5769

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
I20190604000677 GA Practitioner - Clinical Social Worker 9537492780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unlimited Performance CorpGroup PAC ID 8022264696, 15 clinicians

Practice addresses (Care Compare)

2876 Johnson Ferry Rd
Suite 150
Marietta, GA 30062-8324
Phone (770) 361-7864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW005817GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unlimited Performance Corp CurrentSince Mar 16, 2019 Accepting new patients

Locations

1041 Cambridge Sq
Ste B
Alpharetta, GA 30009
Phone (404) 583-7421

2876 Johnson Ferry Rd
Ste 150
Marietta, GA 30062
Phone (770) 361-7864

2862 Johnson Ferry Rd
Ste 150
Marietta, GA 30062
Phone (770) 361-7864

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1063969087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 OAKDALE RD SE UNIT 112",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 OAKDALE RD SE UNIT 112",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265769",
            "telephone_number": "732-991-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "SILVIA",
        "middle_name": "ANN",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

Verify at the official NPI Registry.