Individual provider Active NPI

Amy Nicole Lasher, LCSW

  • Clinical Social Worker
  • Cedartown, GA
National Provider Identifier
1245675370
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005558 Issued in GA
Practice address
180 Water Oak Dr
Cedartown, GA 30125-2095
Phone
(770) 748-2225
Fax
(770) 749-0939
NPI assigned
May 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW006066 GA
Clinical Social Worker 1041C0700X CSW005558 GA Primary

Addresses

Primary practice location

180 Water Oak Dr
Cedartown, GA 30125-2095

Mailing address

180 Water Oak Dr
Cedartown, GA 30125-2095
Phone (770) 748-2225

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
I20151015001722 GA Practitioner - Clinical Social Worker 4789993692 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW006066GAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers CSB CurrentSince Jul 27, 2015 Accepting new patients
Highland Rivers CSB CurrentSince Jul 27, 2015 Accepting new patients
Highland Rivers Community Service Board Current Accepting new patients
Highland Rivers CSB Past Accepting new patients

Locations

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

900 Shugart Rd
Ste B
Dalton, GA 30720
Phone (706) 270-5027

1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003

1179 Progress Rd
Ellijay, GA 30540
Phone (706) 635-2739

323 Roland Rd
Jasper, GA 30143
Phone (706) 253-1112

Organizations & group practices 4

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1245675370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WATER OAK DR",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252095",
            "telephone_number": "770-748-2225",
            "fax_number": "770-749-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WATER OAK DR",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252095",
            "telephone_number": "770-748-2225",
            "fax_number": "770-749-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHER",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW006066",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedartown, GA

Sources for this page

Verify at the official NPI Registry.