Individual provider Active NPI

Elizabeth Neri, LCSW

  • Community/Behavioral Health Agency
  • Dunwoody, GA
National Provider Identifier
1306607080
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW006555 Issued in GA
Practice address
1360 Center Dr Ste 200
Dunwoody, GA 30338-4135
Phone
(678) 825-2320
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CSW006555 GA
Community/Behavioral Health Agency 251S00000X CSW006555 GA Primary

Addresses

Primary practice location

1360 Center Dr Ste 200
Dunwoody, GA 30338-4135

Mailing address

1360 Center Dr Ste 200
Dunwoody, GA 30338-4135
Phone (678) 825-2320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 24, 2024 through Jun 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW006555GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety Specialists of Atlanta LLC Community/Behavioral Health CurrentSince May 26, 2024 Accepting new patients

Locations

1360 Center Dr
Ste 200
Dunwoody, GA 30338
Phone (678) 825-2320

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1306607080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CENTER DR STE 200",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384135",
            "telephone_number": "678-825-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CENTER DR STE 200",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384135",
            "telephone_number": "678-825-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERI",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW006555",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW006555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

Verify at the official NPI Registry.