Active NPI
Ushvani H.D. Persaud
- Clinical Social Worker
- Decatur, GA
National Provider Identifier
1346645124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005498
- Practice address
- 250 N Arcadia Ave
Evp Clinic
Decatur, GA 30030-2115 - Phone
- (404) 321-6111
- NPI assigned
- Oct 23, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 080154 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC05520200 | NJ | |
| Clinical Social Worker | 1041C0700X | C-07389 | NM | |
| Clinical Social Worker | 1041C0700X | CSW005498 | GA | Primary |
Addresses
Primary practice location
250 N Arcadia Ave
Evp Clinic
Decatur, GA 30030-2115
Mailing address
250 N Arcadia Ave
Evp Clinic
Decatur, GA 30030-2115
Phone (404) 321-6111
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346645124 | Other | GA | NPI |
| 1346645124 | Other | NY | NPI |
| 1346645124 | Other | NJ | NPI |
| 1346645124 | Other | NM | NPI |
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 |
|---|---|---|---|
| CSW005498 | GA | MD | Clinical Social Worker |
| 44SC05520200 | NJ | MD | Clinical Social Worker |
| C-07389 | NM | MD | Clinical Social Worker |
| 080154 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1346645124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N ARCADIA AVE",
"address_2": "EVP CLINIC",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302115",
"telephone_number": "404-321-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N ARCADIA AVE",
"address_2": "EVP CLINIC",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302115",
"telephone_number": "404-321-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAUD",
"first_name": "USHVANI",
"middle_name": "H.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080154",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05520200",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-07389",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1346645124",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1346645124",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1346645124",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1346645124",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.