Jeanne D. Wyatt, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001696 Issued in GA

Practice address

5672 Peachtree Pkwy
Suite B
Norcross, GA 30092-2848

Phone

(770) 449-4581

Fax

(770) 449-4123

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Jeanne D. Wyatt, M.S.W., L.C.S.W., P.C.

  • Mental Health Counselor
  • Norcross, GA
  • NPI 1467636696
  NPD (past) Authorized official
• Nina K. Schlachter, DO, P.C.

  • Psychiatry Physician
  • Smyrna, GA
  • NPI 1841581725
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295877728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5672 PEACHTREE PKWY",
            "address_2": "SUITE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922848",
            "telephone_number": "770-449-4581",
            "fax_number": "770-449-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5672 PEACHTREE PKWY",
            "address_2": "SUITE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922848",
            "telephone_number": "770-449-4581",
            "fax_number": "770-449-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "JEANNE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "001696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana L Woodruff, PHD
• Manuela Woodruff, M.S, BCBA
• Wranglehurst, P.C.
• Wranglehurst, P.C.
• Ellen Chia Wu, M.D.
• Y. H. Parikh & Associates
• Priyanka Singh Yadav, D.D.S.
• Kyonghwan Yang
• Behnam Yavari, DMD
• Javid Yavari, D.D.S.

• Clinical Social Worker in Norcross, GA
• Providers in Norcross, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.