Active NPI
Modern Jane Solutions
- Clinical Social Worker
- Dalton, GA
National Provider Identifier
1104549807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MODERN JANE SOLUTIONS
- Practice address
- 710 S Thornton Ave Ste F
Dalton, GA 30720-8421 - Phone
- (404) 234-4442
- NPI assigned
- Sep 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth P. Hubbs, LCSW
- Title
- Owner
- Phone
- (404) 234-4442
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
710 S Thornton Ave Ste F
Dalton, GA 30720-8421
Mailing address
710 S Thornton Ave Ste F
Dalton, GA 30720-8421
Phone (404) 234-4442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
710 S Thornton Ave
Ste F
Dalton, GA 30720
Phone (404) 234-4442
306 N Thornton Ave
Dalton, GA 30720
Phone (706) 310-5172
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Dalton, GA
- NPI 1346689817
-
- Clinical Social Worker
- Dalton, GA
- NPI 1629558879
-
- Clinical Social Worker
- Dalton, GA
- NPI 1093210767
-
- Clinical Social Worker
- Dalton, GA
- NPI 1932881141
-
- Clinical Social Worker
- Dalton, GA
- NPI 1699552091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676937600000",
"number": "1104549807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 S THORNTON AVE STE F",
"city": "DALTON",
"state": "GA",
"postal_code": "307208421",
"telephone_number": "404-234-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S THORNTON AVE STE F",
"city": "DALTON",
"state": "GA",
"postal_code": "307208421",
"telephone_number": "404-234-4442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN JANE SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-19",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A",
"authorized_official_last_name": "HUBBS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-234-4442",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.