Individual provider Active NPI

Toshi Shareef

  • Clinical Social Worker
  • Stockbridge, GA
National Provider Identifier
1144054768
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009231 Issued in GA
Practice address
70 Chimney Smoke Dr
Stockbridge, GA 30281-2703
Phone
(678) 886-8573
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 CSW009231 GA Primary
School Social Worker 1041S0200X

Addresses

Primary practice location

70 Chimney Smoke Dr
Stockbridge, GA 30281-2703

Mailing address

70 Chimney Smoke Dr
Stockbridge, GA 30281-2703
Phone (678) 886-8573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250220000251 GA Practitioner - Clinical Social Worker 0143740282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Consultants of Atlanta, Inc. CurrentSince Nov 19, 2024 Accepting new patients
Recovery Consultants of Atlanta, Inc. CurrentSince Nov 19, 2024 Accepting new patients

Locations

4229 Snapfinger Woods Dr
Decatur, GA 30035
Phone (404) 286-9252

3423 Covington Dr
Ste B
Decatur, GA 30032
Phone (404) 284-6061

1957 Lakeside Pkwy
Ste 510
Tucker, GA 30084
Phone (404) 289-0313

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEGGAD/Endpoint/DEGGAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEGGAD

Organizations & group practices 2

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1144054768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CHIMNEY SMOKE DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302812703",
            "telephone_number": "678-886-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CHIMNEY SMOKE DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302812703",
            "telephone_number": "678-886-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAREEF",
        "first_name": "TOSHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009231",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.