Individual provider Active NPI

Jennifer Ruth Hoodecheck, LCSW, MAC

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1114865060
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005887 Issued in GA
Practice address
5355 Hunter Rd
Atlanta, GA 30349-2594
Phone
(770) 503-4708
NPI assigned
Mar 23, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005887 GA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

5355 Hunter Rd
Atlanta, GA 30349-2594

Mailing address

3449 Mill Creek Rd
Gainesville, GA 30506-1222
Phone (770) 503-4708

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

LicenseStateTypeSpecialty
CSW005887GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1114865060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 MILL CREEK RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061222",
            "telephone_number": "770-503-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 HUNTER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303492594",
            "telephone_number": "770-503-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOODECHECK",
        "first_name": "JENNIFER",
        "middle_name": "RUTH",
        "credential": "LCSW, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005887",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.