Individual provider Active NPI

Jeri Lynn Apple, M.S.W.

  • Clinical Social Worker
  • Cartersville, GA
National Provider Identifier
1225360506
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW000580 Issued in GA
Practice address
175 Pine Grove Rd
Suite 125
Cartersville, GA 30120-8483
Phone
(678) 988-1656
NPI assigned
Feb 11, 2010
Last updated
Feb 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW000580 GA Primary
Marriage & Family Therapist 106H00000X 000577 GA

Addresses

Primary practice location

175 Pine Grove Rd
Suite 125
Cartersville, GA 30120-8483

Mailing address

PO Box 481
White, GA 30184-0481
Phone (678) 988-1656

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

LicenseStateTypeSpecialty
CSW000580GAMDClinical Social Worker
000577GAMDMarriage & Family Therapist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17896/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1225360506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "WHITE",
            "state": "GA",
            "postal_code": "301840481",
            "telephone_number": "678-988-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PINE GROVE RD",
            "address_2": "SUITE 125",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208483",
            "telephone_number": "678-988-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLE",
        "first_name": "JERI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW000580",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "000577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.