Jill Hughes, LCSW
Individual provider Active NPI Clinical Social Worker · Demorest, GA
NPI 1346201472 · NPPES record last updated Aug 18, 2022
Key facts
- NPI
- 1346201472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW002968 (GA)
- Practice address
- 122 Chattahoochee Winds Dr
Demorest, GA 30535-3200 - Phone
- (706) 768-1233
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Thrive Counseling LLC
Practice addresses (Care Compare)
644 N Chase St
Suite 104
Athens, GA 30601-1960
Phone (855) 284-7483
8800 Roswell Rd
Suite A135
Atlanta, GA 30350-1826
Phone (855) 284-7483
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070926000431 | GA | Practitioner - Clinical Social Worker | 4284728965 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerpoint Counseling & Clinical Services Inc | Clinical | Current |
Accepting new patients |
| Thrive Counseling LLC | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Centerpoint Counseling Services | Clinical | Past |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
644 N Chase St
Ste 104
Athens, GA 30601
Phone (706) 898-3276
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW002968 | GA | Yes |
Addresses
Primary practice location
122 Chattahoochee Winds Dr
Demorest, GA 30535-3200
Mailing address
122 Chattahoochee Winds Dr
Demorest, GA 30535-3200
Phone (706) 768-1233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000893604B | Medicaid | GA | |
| 000893604A | Medicaid | GA | |
| 1245958065 | Other | NPI |
NPI Registry JSON
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1346201472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 CHATTAHOOCHEE WINDS DR",
"city": "DEMOREST",
"state": "GA",
"postal_code": "305353200",
"telephone_number": "706-768-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 CHATTAHOOCHEE WINDS DR",
"city": "DEMOREST",
"state": "GA",
"postal_code": "305353200",
"telephone_number": "706-768-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "JILL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW002968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000893604B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000893604A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1245958065",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Demorest, GA
- Tyler James Hoek
- Taylor Lane Hollingsworth
- Monae Denise Holmes
- Ciara Marie Houlihan
- Amy Howard
- Leigh Perdue Hunnicutt
- Independent Physical Therapy of Georgia, LLC
- Alan F Inglett
- Joe Dillard Noggle Jr MD PC
- Dedrika Ashmore Johnson
All providers in Demorest, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.