Active NPI
Caylin Broome, LCSW
- Clinical Social Worker
- Alpharetta, GA
National Provider Identifier
1306599865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006977
- Practice address
- 5755 N Point Pkwy Ste 280
Alpharetta, GA 30022-1176 - Phone
- (470) 781-4279
- NPI assigned
- Feb 3, 2022
- 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 | CSW006977 | GA | Primary |
Addresses
Primary practice location
5755 N Point Pkwy Ste 280
Alpharetta, GA 30022-1176
Mailing address
1514 Sheridan Rd NE Apt 1514
Atlanta, GA 30324-5464
Phone (404) 218-0553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 28, 2023 through Dec 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006977 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1306599865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 SHERIDAN RD NE APT 1514",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303245464",
"telephone_number": "404-218-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 N POINT PKWY STE 280",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300221176",
"telephone_number": "470-781-4279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOME",
"first_name": "CAYLIN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.