Active NPI
Elena Cuclis Tennant, LMSW
- Social Worker
- Atlanta, GA
National Provider Identifier
1205512191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW010182
- Practice address
- 2751 Buford Hwy #204
Atlanta, GA 30324 - Phone
- (404) 994-8282
- NPI assigned
- Jun 26, 2023
- 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 | MSW010182 | GA | Primary |
Addresses
Primary practice location
2751 Buford Hwy #204
Atlanta, GA 30324
Mailing address
70 Spruce St NE Apt 24
Atlanta, GA 30307
Phone (707) 227-6269
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW010182 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1205512191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 SPRUCE ST NE APT 24",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30307",
"telephone_number": "707-227-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 BUFORD HWY #204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30324",
"telephone_number": "404-994-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNANT",
"first_name": "ELENA",
"middle_name": "CUCLIS",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW010182",
"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 Jun 26, 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.