Active NPI
Elizabeth Neri, LCSW
- Community/Behavioral Health Agency
- Dunwoody, GA
National Provider Identifier
1306607080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CSW006555
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006555 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anxiety Specialists of Atlanta LLC | Community/Behavioral Health | Current | 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.
-
- Community/Behavioral Health Agency
- Dunwoody, GA
- NPI 1083291512
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.