Active NPI
Alisha Marie Padilla, LCSW
- Clinical Social Worker
- Savannah, GA
National Provider Identifier
1184139198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW008369
- Practice address
- 2 Johnny Mercer Blvd Apt 1307
Savannah, GA 31410-3324 - Phone
- (845) 453-9319
- NPI assigned
- Dec 13, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 101745 | NY | |
| Clinical Social Worker | 1041C0700X | 109501 | TX | |
| Clinical Social Worker | 1041C0700X | 093204 | NY | |
| Clinical Social Worker | 1041C0700X | CSW008369 | GA | Primary |
Addresses
Primary practice location
2 Johnny Mercer Blvd Apt 1307
Savannah, GA 31410-3324
Mailing address
549 Gregory CT
Highland, NY 12528-2025
Phone (845) 453-9319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101745 | NY | MD | Social Worker |
| CSW008369 | GA | MD | Clinical Social Worker |
| 093204 | NY | MD | Clinical Social Worker |
| 109501 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arms Acres Inc | Past | Accepting new patients | |
| Arms Acres Inc | Past | Accepting new patients |
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Carmel, NY
- NPI 1235184227
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bronx, NY
- NPI 1649474552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1184139198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "549 GREGORY CT",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125282025",
"telephone_number": "845-453-9319",
"fax_number": "518-399-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 JOHNNY MERCER BLVD APT 1307",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314103324",
"telephone_number": "845-453-9319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "ALISHA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "101745",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "109501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "093204",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW008369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.