Active NPI
Amy E Whitaker, LCSW
- Clinical Social Worker
- Peachtree Corners, GA
National Provider Identifier
1275773426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3288
- Practice address
- 5440 Clinchfield TRL
Peachtree Corners, GA 30092-3928 - Phone
- (502) 548-6286
- NPI assigned
- Feb 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3288 | KY | Primary |
Addresses
Primary practice location
5440 Clinchfield TRL
Peachtree Corners, GA 30092-3928
Mailing address
102 Ridge Top CT
Simpsonville, KY 40067-6669
Phone (502) 722-8690
Other practice location 1
1670 Clairmont Rd
Decatur, GA 30033-4004
Phone (470) 549-6152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3288 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1275773426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 RIDGE TOP CT",
"city": "SIMPSONVILLE",
"state": "KY",
"postal_code": "400676669",
"telephone_number": "502-722-8690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 CLINCHFIELD TRL",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300923928",
"telephone_number": "502-548-6286"
}
],
"practiceLocations": [
{
"address_1": "1670 Clairmont Rd",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300334004",
"country_code": "US",
"telephone_number": "470-549-6152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITAKER",
"first_name": "AMY",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-28",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.