Olga V. Jantzer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW00361 Issued in GA

Practice address

3580 Cameron Pkwy
Stockbridge, GA 30281-7816

Phone

(678) 565-6228

NPI assigned

Dec 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1073758819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 RIDGEMONT DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302157709",
            "telephone_number": "770-716-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 CAMERON PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817816",
            "telephone_number": "678-565-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANTZER",
        "first_name": "OLGA",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW00361",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikhol B Jackson, LPC
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• Farah S. James, APRN, PMHNP-BC
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• Christopher James Jean-Louis, D.O.
• Kimberley Jedding, DPT, CEAS

• Clinical Social Worker in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.