Active NPI
Jeanie Witcraft Shiau, LCSW
- Social Worker
- Johns Creek, GA
National Provider Identifier
1245358852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 9925 Haynes Bridge Rd Ste 200
Johns Creek, GA 30022-1913 - Phone
- (678) 667-1673
- NPI assigned
- Mar 26, 2007
- Last updated
- Jun 17, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | TPSW4650 | FL | |
| Clinical Social Worker | 1041C0700X | TLS1180CP | SC | |
| Clinical Social Worker | 1041C0700X | CSW4647 | GA | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
9925 Haynes Bridge Rd Ste 200
Johns Creek, GA 30022-1913
Mailing address
12095 Crabapple Lake Dr
Roswell, GA 30076-4260
Phone (678) 809-5835
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330739 | Medicaid | GA | |
| 1962891853 | Other | GA | NPPES |
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 |
|---|---|---|---|
| CSW4647 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psych Solutions Corp | Clinical | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Practical Solutions Counseling, LLC
- Community/Behavioral Health Agency
- Roswell, GA
- NPI 1962891853
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1225078629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1245358852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12095 CRABAPPLE LAKE DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764260",
"telephone_number": "678-809-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9925 HAYNES BRIDGE RD STE 200",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300221913",
"telephone_number": "678-667-1673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIAU",
"first_name": "JEANIE",
"middle_name": "WITCRAFT",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "TPSW4650",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "TLS1180CP",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW4647",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330739",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1962891853",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.