Organization Active NPI

The L.E.G.a.C.Y Case Management Inc

  • Case Management Agency
  • Albany, GA
National Provider Identifier
1114291408
Registry record updated Mar 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
THE L.E.G.A.C.Y CASE MANAGEMENT INC
Practice address
1512 Gillionville Rd Ste 5E
Albany, GA 31707-0901
Phone
(478) 697-5089
NPI assigned
Mar 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2012

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

Authorized official

Name
Cindreka Delmonica Marshall-Peterson, MSW
Title
Social Worker
Phone
(478) 697-5089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X GA Primary

Addresses

Primary practice location

1512 Gillionville Rd Ste 5E
Albany, GA 31707-0901

Mailing address

1512 Gillionville Rd Ste 5E
Albany, GA 31707-0901
Phone (478) 697-5089

National Provider Directory

National Provider Directory

Locations

1512 Gillionville Rd
Ste 5E
Albany, GA 31707
Phone (478) 697-5089

NPI Registry JSON

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330819200000",
    "number": "1114291408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 GILLIONVILLE RD STE 5E",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070901",
            "telephone_number": "478-697-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 GILLIONVILLE RD STE 5E",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070901",
            "telephone_number": "478-697-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE L.E.G.A.C.Y CASE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-04",
        "last_updated": "2012-03-04",
        "status": "A",
        "authorized_official_last_name": "MARSHALL-PETERSON",
        "authorized_official_first_name": "CINDREKA",
        "authorized_official_middle_name": "DELMONICA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "478-697-5089",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2012; 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.