Individual provider Active NPI

Karen Denise Sutton, LCSW

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1386934909
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW 003199 Issued in GA
Practice address
209A Swanton Way Ste 102
Decatur, GA 30030-3271
Phone
(678) 587-8084
Fax
(770) 638-7848
NPI assigned
Apr 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 CSW 003199 GA Primary

Addresses

Primary practice location

209A Swanton Way Ste 102
Decatur, GA 30030-3271

Mailing address

285 Triple Oaks Dr
Tucker, GA 30084-2082
Phone (404) 213-0799

Other practice location 1

285 Triple Oaks Dr
Tucker, GA 30084-2082
Phone (404) 213-0799

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW 003199GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1386934909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 TRIPLE OAKS DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842082",
            "telephone_number": "404-213-0799",
            "fax_number": "770-638-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209A SWANTON WAY STE 102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303271",
            "telephone_number": "678-587-8084",
            "fax_number": "770-638-7848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 Triple Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300842082",
            "country_code": "US",
            "telephone_number": "404-213-0799",
            "fax_number": "770-638-7848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "KAREN",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW 003199",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 5, 2021; 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.