Active NPI
Sallie Ann Galyean, LCSW
- Clinical Social Worker
- Saint Marys, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW003693
- Practice address
- 4499 Ga Highway 40 E Ste a
Saint Marys, GA 31558-9402 - Phone
- (912) 674-1130
- Fax
- (912) 729-4626
- NPI assigned
- Oct 17, 2006
- Last updated
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW003693 | GA | Primary |
Addresses
Primary practice location
4499 Ga Highway 40 E Ste a
Saint Marys, GA 31558-9402
Mailing address
4499 Ga Highway 40 E Ste a
Saint Marys, GA 31558-9402
Phone (912) 674-1130
Other names 1
- Miss Sallie Ann Horn
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120725000555 | GA | Practitioner - Clinical Social Worker | 7517123144 | Practice locations: Saint Marys, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4499 Hwy 40
Suite a
Saint Marys, GA 31558-9402
Phone (912) 674-1130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brand New Day Counseling Services, Inc. | Current | Accepting new patients | |
| Heather Groom LLC | Clinical | Current | Accepting new patients |
Locations
4499 Highway 40
Ste A
Saint Marys, GA 31558
Phone (912) 227-8625
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Saint Marys, GA
- NPI 1669826715
-
dba Heather Groom LCSW Counseling Services
- Clinical Social Worker
- Saint Marys, GA
- NPI 1790677706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1144300591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4499 GA HIGHWAY 40 E STE A",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315589402",
"telephone_number": "912-674-1130",
"fax_number": "912-729-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4499 GA HIGHWAY 40 E STE A",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315589402",
"telephone_number": "912-674-1130",
"fax_number": "912-729-4626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALYEAN",
"first_name": "SALLIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW003693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SALLIE",
"last_name": "HORN",
"middle_name": "ANN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.