Brittany Boden, LCSW, CGP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004173 Issued in GA

Practice address

2801 Buford Hwy NE
Suite 470
Atlanta, GA 30329-2149

Phone

(678) 429-4833

Fax

(404) 321-1928

NPI assigned

Jun 12, 2014

Last updated

Jun 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 11, 2024 through Jul 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephen B Harris

  dba Steve Harris, L.C.S.W., Inc.

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1386894806
  NPD (past)

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1093129561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE",
            "address_2": "SUITE 470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292149",
            "telephone_number": "678-429-4833",
            "fax_number": "404-321-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE",
            "address_2": "SUITE 470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292149",
            "telephone_number": "678-429-4833",
            "fax_number": "404-321-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEN",
        "first_name": "BRITTANY",
        "credential": "LCSW, CGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestre Merita Boddy, LCSW
• Alexander Diaz Bode, MD
• Angela Luree Bode, LPC, MAC, CAADC
• Bruce Welsh Bode, M.D.
• Erica Bodechon
• Scott D. Boden, M.D.
• Mackenzie Bodin
• Patrick Bodin, RN
• Evie E Bodine, LAPC
• Gwendolyn Alexandria Bodkin, MD

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, 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 Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.