Active NPI
Stephanie Gentry
- Clinical Social Worker
- Cumming, GA
National Provider Identifier
1114414414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MSW008306
- Practice address
- 600 Peachtree Pkwy
Cumming, GA 30041-7461 - Phone
- (912) 271-1926
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MSW008306 | GA | Primary |
Addresses
Primary practice location
600 Peachtree Pkwy
Cumming, GA 30041-7461
Mailing address
1610 Oakfield LN
Roswell, GA 30075-3018
Phone (912) 271-1926
Other practice location 1
600 Peachtree Parkway
Suite 112
Cumming, GA 30041
Phone (912) 271-1926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW008306 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1114414414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 OAKFIELD LN",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753018",
"telephone_number": "912-271-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PEACHTREE PKWY",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417461",
"telephone_number": "912-271-1926"
}
],
"practiceLocations": [
{
"address_1": "600 Peachtree Parkway",
"address_2": "Suite 112",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "30041",
"country_code": "US",
"telephone_number": "912-271-1926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENTRY",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "MSW008306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
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- Sally Ann Geckeler-Wright, L.A.P.C.
- Emily Gee, LPC, CPCS
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- Laura M Genone, AUD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.