Leigh Anne Clark, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

44SC05317700 Issued in NJ

Practice address

124 N 4TH Ave
Decatur, GA 30030-4204

Phone

(404) 281-3855

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Leigh Anne Murtaugh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: leighanneclark@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD
• Family Guidance Center Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hamilton, NJ
  • NPI 1922027895
  NPD (past)
• Family Guidance Center Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Trenton, NJ
  • NPI 1982963260
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1306926381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N 4TH AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304204",
            "telephone_number": "404-281-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N 4TH AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304204",
            "telephone_number": "404-281-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LEIGH ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "CSW003971",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05284800",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SC05317700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH ANNE",
            "last_name": "MURTAUGH",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Michelle Clark, M.S.
• Jazmine Clark, MSW INTERN
• Jennifer Ann Clark
• Jonathan Clark
• Julia Belcher Clark, FNP-C
• Lena G Clark
• Mary Clark, MSW
• Mary Katherine Clark, PA-C
• Neal Clark, ARRT
• Omeka Clark, PHARM.D.

• Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.