Active NPI
Laura Kathleen Carmody, LMSW
- Social Worker
- Atlanta, GA
National Provider Identifier
1184040735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW005150
- Practice address
- 1605 Peachtree St NE
Atlanta, GA 30309-2433 - Phone
- (404) 870-7789
- Fax
- (404) 870-7809
- NPI assigned
- Mar 6, 2014
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW005150 | GA | Primary |
Addresses
Primary practice location
1605 Peachtree St NE
Atlanta, GA 30309-2433
Mailing address
1605 Peachtree St NE
Atlanta, GA 30309-2433
Phone (404) 870-7789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 6, 2025 through Mar 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW005150 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1184040735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092433",
"telephone_number": "404-870-7789",
"fax_number": "404-870-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092433",
"telephone_number": "404-870-7789",
"fax_number": "404-870-7809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMODY",
"first_name": "LAURA",
"middle_name": "KATHLEEN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-06",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW005150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.