Nicole J. Pechter, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW007429 Issued in GA

Practice address

1930 N Druid Hills Rd NE
Brookhaven, GA 30319-6009

Phone

(404) 500-2879

NPI assigned

Dec 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Port Counseling & Consultation

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1265891014
  NPD (past)

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1164966453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E ANDREWS DR NW",
            "address_2": "APARTMENT 3204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051370",
            "telephone_number": "561-703-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 N DRUID HILLS RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303196009",
            "telephone_number": "404-500-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHTER",
        "first_name": "NICOLE",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW007429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.