Individual provider Active NPI

Weronika Misiurewicz, LMSW

  • Social Worker
  • Atlanta, GA
National Provider Identifier
1336819341
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW010218 Issued in GA
Practice address
199 Armour Dr NE Ste E
Atlanta, GA 30324-3975
Phone
(404) 685-1600
Fax
(678) 666-1149
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW010218 GA Primary

Addresses

Primary practice location

199 Armour Dr NE Ste E
Atlanta, GA 30324-3975

Mailing address

140 Springdale St Apt 14
Athens, GA 30605-5803
Phone (167) 884-8910

Other identifiers 1

IdentifierTypeStateIssuer
7972438OtherGAUNITED HEALTHCARE

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

LicenseStateTypeSpecialty
MSW010218GAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1336819341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SPRINGDALE ST APT 14",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306055803",
            "telephone_number": "167-884-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 ARMOUR DR NE STE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243975",
            "telephone_number": "404-685-1600",
            "fax_number": "678-666-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISIUREWICZ",
        "first_name": "WERONIKA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW010218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "7972438",
            "state": "GA"
        }
    ],
    "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 Sep 20, 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.