Individual provider Active NPI

Kathryn Potter Headlee-Jones, LMSW

  • Social Worker
  • Roswell, GA
National Provider Identifier
1285513192
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW010277 Issued in GA
Practice address
800 Old Roswell Lakes Pkwy Ste 220
Roswell, GA 30076-1667
Phone
(470) 400-0830
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW010277 GA Primary

Addresses

Primary practice location

800 Old Roswell Lakes Pkwy Ste 220
Roswell, GA 30076-1667

Mailing address

800 Old Roswell Lakes Pkwy Ste 220
Roswell, GA 30076-1667
Phone (470) 400-0830

Other names 1

  • Kathryn Potter Headlee Former name

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

LicenseStateTypeSpecialty
MSW010277GAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1285513192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OLD ROSWELL LAKES PKWY STE 220",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761667",
            "telephone_number": "470-400-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OLD ROSWELL LAKES PKWY STE 220",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761667",
            "telephone_number": "470-400-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADLEE-JONES",
        "first_name": "KATHRYN",
        "middle_name": "POTTER",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW010277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HEADLEE",
            "middle_name": "POTTER",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.