NPIMap

Organization Active NPI

Wayfarer Therapies

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1225365141
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WAYFARER THERAPIES
Practice address
343 8TH St NE
#E-2
Atlanta, GA 30309-4282
Phone
(678) 895-8412
NPI assigned
Nov 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Michael Johnson, LCSWNPI 1003072364
Title
Owner
Phone
(678) 895-8412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

343 8TH St NE
#E-2
Atlanta, GA 30309-4282

Mailing address

343 8TH St NE
#E-2
Atlanta, GA 30309-4282
Phone (678) 895-8412

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1225365141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 8TH ST NE",
            "address_2": "#E-2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094282",
            "telephone_number": "678-895-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 8TH ST NE",
            "address_2": "#E-2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094282",
            "telephone_number": "678-895-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYFARER THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-895-8412",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jan 30, 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.