Active NPI
Ann Priddy LCSW PC
- Community/Behavioral Health Agency
- Albany, GA
National Provider Identifier
1134489503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CSW001337
- Legal business name
- ANN PRIDDY LCSW PC
- Practice address
- 1511 W 3Rd Ave
Suite 104
Albany, GA 31707-3695 - Phone
- (229) 483-5050
- Fax
- (229) 485-1103
- NPI assigned
- May 20, 2012
- 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
- Ms. Ann S. Priddy, LCSW LMFT
- Title
- Owner
- Phone
- (229) 483-5050
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CSW001337 | GA | Primary |
Addresses
Primary practice location
1511 W 3Rd Ave
Suite 104
Albany, GA 31707-3695
Mailing address
1511 W 3Rd Ave
Suite 104
Albany, GA 31707-3695
Phone (229) 483-5050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899829779A | Medicaid | GA | |
| 1982688198 | Other | GA | INDIVIDUAL NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Albany, GA
- NPI 1982688198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339372800000",
"number": "1134489503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 W 3RD AVE",
"address_2": "SUITE 104",
"city": "ALBANY",
"state": "GA",
"postal_code": "317073695",
"telephone_number": "229-483-5050",
"fax_number": "229-485-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 W 3RD AVE",
"address_2": "SUITE 104",
"city": "ALBANY",
"state": "GA",
"postal_code": "317073695",
"telephone_number": "229-483-5050",
"fax_number": "229-485-1103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANN PRIDDY LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-20",
"last_updated": "2012-06-11",
"status": "A",
"authorized_official_last_name": "PRIDDY",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-483-5050",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "CSW001337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899829779A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1982688198",
"state": "GA"
}
],
"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 Jun 11, 2012; 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.