Active NPI
Biljana Djordjevic Drake, LCSW
- Clinical Social Worker
- Robins Afb, GA
National Provider Identifier
1134647787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 655 7TH St BLDG 700700-a
Robins Afb, GA 31098-2227 - Phone
- (478) 497-8040
- NPI assigned
- Sep 5, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Clinical Social Worker | 1041C0700X | CSW005824 | GA |
Addresses
Primary practice location
655 7TH St BLDG 700700-a
Robins Afb, GA 31098-2227
Mailing address
655 7TH St BLDG 700-A78
Robins Afb, GA 31098-2227
Phone (478) 327-8487
Other practice location 1
501 Countrywood Drive
Warner Robins, GA 31088
Phone (478) 919-1962
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 |
|---|---|---|---|
| CSW005824 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Munro Psy D PA | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1134647787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 7TH ST BLDG 700-A78",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "310982227",
"telephone_number": "478-327-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 7TH ST BLDG 700700-A",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "310982227",
"telephone_number": "478-497-8040"
}
],
"practiceLocations": [
{
"address_1": "501 Countrywood Drive",
"address_purpose": "LOCATION",
"city": "Warner Robins",
"state": "GA",
"postal_code": "31088",
"country_code": "US",
"telephone_number": "478-919-1962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAKE",
"first_name": "BILJANA",
"middle_name": "DJORDJEVIC",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005824",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Robins Afb, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.