Libby Overly, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11194 Issued in MD

Practice address

80 Jesse Hill Drive SE
Grady Behavioral Health 13B
Atlanta, GA 30303

Phone

(404) 616-3330

Fax

(404) 616-4766

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311984000000",
    "number": "1245480680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL DRIVE SE",
            "address_2": "GRADY BEHAVIORAL HEALTH 13B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-616-3330",
            "fax_number": "404-616-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL DRIVE SE",
            "address_2": "GRADY BEHAVIORAL HEALTH 13B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-616-3330",
            "fax_number": "404-616-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLY",
        "first_name": "LIBBY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2011-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND SOCIAL WORKERS LICENSE",
            "identifier": "11194",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "CSW004274",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Presly Ouy
• William Randolph Oven, MSW
• Overachievers Behavioral Health Services
• David L Overby, DMD
• Jennifer Lowry Overby, M.S., CCC-SLP
• Alphonzo Overstreet Jr., M.D.
• Lathan Wyatt Overstreet, M.D.
• Kenan Elena Overton
• Owcp Massage Solutions
• Alicia Owen, PTA

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, 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 Jul 30, 2011; 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.