Organization Active NPI

Woodfin J. Threlkeld, MSW, LCSW, Inc.

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1366674087
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW002002 Issued in GA
Legal business name
WOODFIN J. THRELKELD, MSW, LCSW, INC.
Practice address
2250 N Druid Hills Rd NE
Suite 232
Atlanta, GA 30329-3192
Phone
(404) 325-3992
Fax
(404) 325-5310
NPI assigned
Aug 13, 2009
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Mr. Woodfin Jackson Threlkeld, LCSWNPI 1831201151
Title
President
Phone
(404) 325-3992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW002002 GA Primary

Addresses

Primary practice location

2250 N Druid Hills Rd NE
Suite 232
Atlanta, GA 30329-3192

Mailing address

2250 N Druid Hills Rd NE
Suite 232
Atlanta, GA 30329-3192
Phone (404) 325-3992

National Provider Directory

National Provider Directory

Locations

2250 N Druid Hills Rd NE
Ste 232
Atlanta, GA 30329
Phone (404) 325-3992

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1366674087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N DRUID HILLS RD NE",
            "address_2": "SUITE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293192",
            "telephone_number": "404-325-3992",
            "fax_number": "404-325-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N DRUID HILLS RD NE",
            "address_2": "SUITE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293192",
            "telephone_number": "404-325-3992",
            "fax_number": "404-325-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFIN J. THRELKELD, MSW, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "THRELKELD",
        "authorized_official_first_name": "WOODFIN",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-325-3992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002002",
            "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 Aug 13, 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.