Organization Active NPI

Woodside Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chamblee, GA
National Provider Identifier
1073439782
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WOODSIDE RECOVERY LLC
Practice address
3717 Chamblee Dunwoody Rd
Chamblee, GA 30341-2062
Phone
(561) 901-4923
NPI assigned
Jun 26, 2026
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Mrs. Annemarie Sincavage
Title
Director
Phone
(561) 901-4923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

3717 Chamblee Dunwoody Rd
Chamblee, GA 30341-2062

Mailing address

1101 54TH St
West Palm Beach, FL 33407-2419
Phone (561) 901-4923

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2334393Woodside Recovery3717 Chamblee Dunwoody Road, Chamblee, GA 30341Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory

Locations

3717 Chamblee Dunwoody Rd
Chamblee, GA 30341

NPI Registry JSON

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

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1073439782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 54TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072419",
            "telephone_number": "561-901-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 CHAMBLEE DUNWOODY RD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412062",
            "telephone_number": "561-901-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "SINCAVAGE",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-901-4923",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.