Individual provider Active NPI

Vicki Steine, MSW, LCSW

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1346475969
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001196 Issued in GA
Practice address
47 Old Fuller Mill Rd NE
Marietta, GA 30067-4125
Phone
(770) 988-8809
Fax
(770) 988-8809
NPI assigned
May 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW001196 GA Primary

Addresses

Primary practice location

47 Old Fuller Mill Rd NE
Marietta, GA 30067-4125

Mailing address

47 Old Fuller Mill Rd NE
Marietta, GA 30067-4125
Phone (770) 988-8809

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
CSW001196GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1346475969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OLD FULLER MILL RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674125",
            "telephone_number": "770-988-8809",
            "fax_number": "770-988-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OLD FULLER MILL RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674125",
            "telephone_number": "770-988-8809",
            "fax_number": "770-988-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINE",
        "first_name": "VICKI",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.