Active NPI
Williethia McLane
- Social Worker
- Atlanta, GA
National Provider Identifier
1083204101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1030 Fayetteville Rd SE
Atlanta, GA 30316-2921 - Phone
- (404) 564-0454
- NPI assigned
- Jan 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1030 Fayetteville Rd SE
Atlanta, GA 30316-2921
Mailing address
256 Stone Ridge Cir
Hiram, GA 30141-4591
Phone (470) 443-8603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Williethia.Johnson@Chris180.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1083204101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 STONE RIDGE CIR",
"city": "HIRAM",
"state": "GA",
"postal_code": "301414591",
"telephone_number": "470-443-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 FAYETTEVILLE RD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162921",
"telephone_number": "404-564-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLANE",
"first_name": "WILLIETHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-22",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Williethia.Johnson@Chris180.org",
"affiliation": "N",
"endpointDescription": "Company Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1030 Fayetteville Rd SE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303162921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.