Active NPI
Edifiers
- Clinical Social Worker
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- EDIFIERS
- Practice address
- 650 Ponce de Leon Ave NE Ste 1063318T
Atlanta, GA 30308-1804 - Phone
- (404) 290-1667
- NPI assigned
- Apr 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharday Fields
- Title
- Owner
- Phone
- (404) 290-1667
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
650 Ponce de Leon Ave NE Ste 1063318T
Atlanta, GA 30308-1804
Mailing address
650 Ponce de Leon Ave NE Ste 300-1063
Atlanta, GA 30308-1804
Phone (404) 290-1667
Other practice location 1
3184 Tarian Way
Decatur, GA 30034-5574
Phone (404) 290-1667
Other names 1
- Edifiers
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@edifiersmentalwellnessspa.com |
National Provider Directory
National Provider DirectoryLocations
650 Ponce de Leon Ave NE
Ste 1063318T
Atlanta, GA 30308
Phone (404) 290-1667
650 Ponce de Leon Ave NE
Ste 3001063
Atlanta, GA 30308
Phone (678) 837-6460
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634083200000",
"number": "1306428289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 PONCE DE LEON AVE NE STE 300-1063",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081804",
"telephone_number": "404-290-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 PONCE DE LEON AVE NE STE 1063318T",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081804",
"telephone_number": "404-290-1667"
}
],
"practiceLocations": [
{
"address_1": "3184 Tarian Way",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300345574",
"country_code": "US",
"telephone_number": "404-290-1667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EDIFIERS",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-21",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A",
"authorized_official_last_name": "FIELDS",
"authorized_official_first_name": "SHARDAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-290-1667",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@edifiersmentalwellnessspa.com",
"affiliation": "N",
"address_1": "650 Ponce De Leon Ave NE Ste 300-1063",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303081804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Edifiers",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Edifiers",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.