Anacaona Nedge Antoine

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P121083 Issued in NY

Practice address

575 Mulberry Park Cir
Dacula, GA 30019-2050

Phone

(646) 319-0959

NPI assigned

Oct 31, 2023

Last updated

Nov 5, 2023By 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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1093588295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 MULBERRY PARK CIR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MULBERRY PARK CIR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192050",
            "telephone_number": "646-319-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOINE",
        "first_name": "ANACAONA",
        "middle_name": "NEDGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P121083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Anglin
• Adwoa Aninkorah
• Maria Ansari
• Suzette Anson
• Antioch Christian Center, Inc (Behavioral Health Services, Rehab, Healthcare Provider, Counseling)
• Weks Wekongho Anyu-Chita, NP
• Rami Badr Arfoosh, M.D.
• Leona Beth Arnold, PA-C
• Amaka Gloria Asaije
• Jade Asante-Selby, NP-C

• Clinical Social Worker in Dacula, GA
• Providers in Dacula, 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 5, 2023; 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.