Organization Active NPI

LCSW Solutions, LLC

  • Clinical Social Worker
  • Richmond Hill, GA
National Provider Identifier
1245498666
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW002924 Issued in GA
Legal business name
LCSW SOLUTIONS, LLC
Practice address
50 Ford Way Ste 103
Richmond Hill, GA 31324-4438
Phone
(912) 756-7136
Fax
(912) 756-7146
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Mrs. Sybil W Dudley, LCSW
Title
Owner/Therapist
Phone
(912) 756-7136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW002924 GA Primary

Addresses

Primary practice location

50 Ford Way Ste 103
Richmond Hill, GA 31324-4438

Mailing address

PO Box 234
Richmond Hill, GA 31324-0234
Phone (912) 756-7136

Other identifiers 1

IdentifierTypeStateIssuer
916944984AMedicaidGA

Other names 1

  • Sybil W Dudley LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

50 Ford Way
Ste 103
Richmond Hill, GA 31324
Phone (912) 756-7136

9998 Ford Ave
Ste 5
Richmond Hill, GA 31324
Phone (912) 756-7136

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1245498666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 234",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313240234",
            "telephone_number": "912-756-7136",
            "fax_number": "912-756-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FORD WAY STE 103",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313244438",
            "telephone_number": "912-756-7136",
            "fax_number": "912-756-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCSW SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "SYBIL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "912-756-7136",
        "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": "CSW002924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "916944984A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sybil W Dudley LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sybil W Dudley LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.