Jessica Bui

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006871 Issued in GA

Practice address

1493 Grant Dr NE
Brookhaven, GA 30319-3527

Phone

(608) 214-8338

NPI assigned

May 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Weeden Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  GA, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1073961512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 GRANT DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193527",
            "telephone_number": "082-148-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 GRANT DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193527",
            "telephone_number": "608-214-8338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3643 Walton Way Ext",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309094507",
            "country_code": "US",
            "telephone_number": "706-364-1404",
            "fax_number": "706-364-1419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUI",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WEEDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cinnamon Brown
• Elizabeth Brown
• Kiana Brown, RBT
• M. D. Brown, PH.D, LPC, NCC, CPSC
• Henry Thien Bui, BS
• Suzanne S Bunting, PHARMD
• Mary Margaret Burch, FNP-BC
• Asia Burgos, RBT
• Summer Burns, APC
• Dominique Bush

• Clinical Social Worker in Brookhaven, GA
• Providers in Brookhaven, 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 Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.