Active NPI
Vanessa L. Pryor, L.C.S.W.
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1306978499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW003021
- Practice address
- 60 Coca Cola PL SE
Atlanta, GA 30303-3043 - Phone
- (404) 616-5034
- Fax
- (404) 616-4737
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 8, 2007
- 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 | CSW003021 | GA | Primary |
Addresses
Primary practice location
60 Coca Cola PL SE
Atlanta, GA 30303-3043
Mailing address
2086 Pintail CV
Lithonia, GA 30058-8332
Phone (770) 312-0540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW003021 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306978499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2086 PINTAIL CV",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300588332",
"telephone_number": "770-312-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 COCA COLA PL SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033043",
"telephone_number": "404-616-5034",
"fax_number": "404-616-4737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYOR",
"first_name": "VANESSA",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW003021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.