Sam Marion Counseling and Consulting, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SAM MARION COUNSELING AND CONSULTING, INC

Practice address

4482 Commerce Dr
Buford, GA 30518-7512

Phone

(770) 904-1761

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Marion, LCSWNPI 1760903652

Title

Owner

Phone

(770) 904-1761

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Marion, LCSW

  • Clinical Social Worker
  • Buford, GA
  • NPI 1760903652

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1134869647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST STE A1B-8L",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185727",
            "telephone_number": "770-904-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 COMMERCE DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305187512",
            "telephone_number": "770-904-1761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Main St Ste A1B-8L",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305185727",
            "country_code": "US",
            "telephone_number": "770-904-1761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAM MARION COUNSELING AND CONSULTING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "MARION",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-904-1761",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sam'S Club Optical
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• Sheeba Samuel
• Ken E Sanford, MD

• All providers in Buford, GA
• Clinical Social Worker in Georgia

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

Verify at the official NPI Registry.