Eliza Segell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MSW008198 Issued in GA

Practice address

165 Dekalb Industrial Way Ste D-1
Decatur, GA 30030

Phone

(770) 421-5271

Fax

(770) 995-1959

NPI assigned

Nov 16, 2018

Last updated

Nov 11, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Atlanta Family Counseling, LLC

  • Clinical Social Worker
  • Decatur, GA
  • NPI 1629431390
  NPD

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1093284291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 DEKALB INDUSTRIAL WAY STE D-1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302230",
            "telephone_number": "770-421-5271",
            "fax_number": "770-995-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 DEKALB INDUSTRIAL WAY STE D-1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "770-421-5271",
            "fax_number": "770-995-1959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Clairmont Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300333405",
            "country_code": "US",
            "telephone_number": "404-636-1457 x444",
            "fax_number": "404-636-7449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGELL",
        "first_name": "ELIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW008198",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW008198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safiya Searvance
• James Seckman, MAC, CACII, CCS
• Secure Medicare Solutions LLC
• Secured Care Home Health Services Inc.
• Seed & Oak Counseling LLC
• Ashley Nicole Segnou, NP-C
• Emily Seibel
• Huzaifa Abukari Seidu, MD
• Select Choice LLC
• Select Choice Transportation

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, 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 Nov 11, 2019; 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.