Individual provider Active NPI

Sherrie Delaine Sperling, LMSW

  • Clinical Social Worker
  • Woodstock, GA
National Provider Identifier
1245580125
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MSW005100 Issued in GA
Practice address
115 Susobell PL
Woodstock, GA 30188-5103
Phone
(770) 235-7084
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MSW005100 GA Primary

Addresses

Primary practice location

115 Susobell PL
Woodstock, GA 30188-5103

Mailing address

115 Susobell PL
Woodstock, GA 30188-5103
Phone (770) 235-7084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001485 GA Practitioner - Clinical Social Worker 0547201469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

251 River Park N Dr
Woodstock, GA 30188-7835
Phone (770) 235-7084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW005100GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Days of Hope Counseling Clinical CurrentSince Jan 1, 2015 Accepting new patients

Locations

101 Mountain Brook Dr
#100
Canton, GA 30115
Phone (770) 235-7084

113 Mountain Brook Dr
Ste 104
Canton, GA 30115
Phone (706) 669-3526

251 River Park North Dr
Woodstock, GA 30188
Phone (404) 293-5654

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1245580125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUSOBELL PL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885103",
            "telephone_number": "770-235-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUSOBELL PL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885103",
            "telephone_number": "770-235-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERLING",
        "first_name": "SHERRIE",
        "middle_name": "DELAINE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW005100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.