Individual provider Active NPI

Landa Marie Duszynski, MSW, LCSW

  • Clinical Social Worker
  • Alpharetta, GA
National Provider Identifier
1265682223
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007688 Issued in GA
Practice address
12590 Broadwell Rd Ste 1002B
Alpharetta, GA 30004-6700
Phone
(470) 757-2696
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006124 NC
Clinical Social Worker 1041C0700X CSW007688 GA Primary

Addresses

Primary practice location

12590 Broadwell Rd Ste 1002B
Alpharetta, GA 30004-6700

Mailing address

805 Fairbrook LN
Roswell, GA 30075-1354
Phone (470) 757-2696

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
I20230601000097 GA Practitioner - Clinical Social Worker 4981061280 Practice locations: Roswell, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

805 Fairbrook LN
Roswell, GA 30075-1354
Phone (470) 757-2696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW007688GAMDClinical Social Worker
C006124NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1265682223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 FAIRBROOK LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751354",
            "telephone_number": "470-757-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12590 BROADWELL RD STE 1002B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046700",
            "telephone_number": "470-757-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSZYNSKI",
        "first_name": "LANDA",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006124",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.