Growth Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004116 Issued in GA

Legal business name

GROWTH THERAPY

Practice address

1 Huntington Rd
#105
Athens, GA 30606-7204

Phone

(888) 307-2780

Fax

(888) 283-8780

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Leigh Ellen Watts-Magness, LCSW

Title

Sole Member

Phone

(888) 283-2780

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1215288428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "#105",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "888-307-2780",
            "fax_number": "888-283-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "#105",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "888-307-2780",
            "fax_number": "888-283-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "WATTS-MAGNESS",
        "authorized_official_first_name": "LEIGH ELLEN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "888-283-2780",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "004116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339198135A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brendan Groarke, D.O.
• Joel Thomas Groft, D.C.
• Katherine Crosby Gross, PHD
• Kelly C Grow, MD
• Parker Charles Grow, M.D.
• Lauren Gruendling, DNP
• Anastasia Grund
• Mary Guenther, PHYSICAL THERAPY
• Bobby Joe Guess Jr., FNP-C
• Kelly Bradberry Guest, ED.D, M.ED., CCC-SLP

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.