Active NPI
Eterica Dionne Sims-Rucks, LCSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1366772485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004169
- Practice address
- 3113 Abbey Dr SW
Atlanta, GA 30331-5477 - Phone
- (404) 423-5900
- Fax
- (866) 830-7199
- NPI assigned
- Jan 12, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004169 | GA | Primary |
Addresses
Primary practice location
3113 Abbey Dr SW
Atlanta, GA 30331-5477
Mailing address
3485 N Desert Dr # 205
East Point, GA 30344-5724
Phone (404) 721-6716
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350172800000",
"number": "1366772485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3485 N DESERT DR # 205",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303445724",
"telephone_number": "404-721-6716",
"fax_number": "866-830-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 ABBEY DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303315477",
"telephone_number": "404-423-5900",
"fax_number": "866-830-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS-RUCKS",
"first_name": "ETERICA",
"middle_name": "DIONNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2012-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004169",
"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 Oct 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.