Elizabeth Harman Mauldin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000193 Issued in GA

Practice address

11503 Big Canoe
Big Canoe, GA 30143-5113

Phone

(404) 281-1867

Fax

(706) 579-2593

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316027931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 BIG CANOE",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435113",
            "telephone_number": "404-281-1867",
            "fax_number": "706-579-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 BIG CANOE",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435113",
            "telephone_number": "404-281-1867",
            "fax_number": "706-579-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "ELIZABETH",
        "middle_name": "HARMAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "000193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROV # UNITED HEALTHCARE",
            "identifier": "62-46919",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Perry Brannen, CCC,SLP
• Robert Michael Cargile, M.D.
• Charles Dudleigh Hackett, PH.D.
• Ann Caroline Lafontaine, MA, RD, LD
• Nutritionmagic, Inc.
• Sally Ragonesi, P.T.
• Samuel Relyea
• John Wayne Ross, MD
• Matthew Jeffrey Smolen, DC

• Clinical Social Worker in Big Canoe, GA
• Providers in Big Canoe, GA by specialty
• Clinical Social Worker in Georgia

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

Verify at the official NPI Registry.