Organization Active NPI

Counseling & Prayer USA, Inc.

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1356515720
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LMSW004061 Issued in GA
Legal business name
COUNSELING & PRAYER USA, INC.
Practice address
1297 Chaucer LN NE
Atlanta, GA 30319-1507
Phone
(678) 429-9872
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Mrs. Agnes Sullivan, MSC., MSW, LMSW
Title
Clinical Director
Phone
(678) 429-9872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LMSW004061 GA Primary

Addresses

Primary practice location

1297 Chaucer LN NE
Atlanta, GA 30319-1507

Mailing address

2348 Welton PL
Atlanta, GA 30338-5345
Phone (678) 983-4720

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1356515720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 WELTON PL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385345",
            "telephone_number": "678-983-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 CHAUCER LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191507",
            "telephone_number": "678-429-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & PRAYER USA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "678-429-9872",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSC., MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "LMSW004061",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 16, 2008; 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.