Active NPI
Susan Danielle Macmillan, L.C.S.W.
- Clinical Social Worker
- Alpharetta, GA
National Provider Identifier
1083948897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW002515
- Practice address
- 2750 Old Alabama Rd.
S.200 the Summit Counseling Center
Alpharetta, GA 30022 - Phone
- (678) 893-6300
- Fax
- (678) 893-5312
- NPI assigned
- Sep 25, 2009
- Last updated
- Sep 25, 2009
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW002515 | GA | Primary |
Addresses
Primary practice location
2750 Old Alabama Rd.
S.200 the Summit Counseling Center
Alpharetta, GA 30022
Mailing address
2750 Old Alabama Rd.
S.200 the Summit Counseling Center
Alpharetta, GA 30022
Phone (678) 893-6300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW002515 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1083948897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 OLD ALABAMA RD.",
"address_2": "S.200 THE SUMMIT COUNSELING CENTER",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30022",
"telephone_number": "678-893-6300",
"fax_number": "678-893-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 OLD ALABAMA RD.",
"address_2": "S.200 THE SUMMIT COUNSELING CENTER",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30022",
"telephone_number": "678-893-6300",
"fax_number": "678-893-5312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACMILLAN",
"first_name": "SUSAN",
"middle_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW002515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.