Patricia Danett Archibald

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004735 Issued in GA

Practice address

4450 Kentland Dr
Acworth, GA 30101-6384

Phone

(470) 747-0996

NPI assigned

Dec 6, 2012

Last updated

Dec 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Patricia Archibald Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Hearts & Minds Counseling & Consulting LLC

  • Clinical Social Worker
  • Kennesaw, GA
  • NPI 1194404525
  NPD Authorized official

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1396080164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 KENTLAND DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016384",
            "telephone_number": "470-747-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 KENTLAND DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016384",
            "telephone_number": "470-747-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "PATRICIA",
        "middle_name": "DANETT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ARCHIBALD",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Georgette Anthony
• Sheba Antony, MD
• Shonmeka Ann Antwi, LPC
• Keilah Araujo, RBT
• Mollie Archer, DPT
• Arlise Chiropractic, LLC
• Christina Ann Armstrong, LCSW
• Juan Carlos Armstrong, M.D.
• Sabiha Arna, DC
• Erin Rae Arnold, D.C

• Clinical Social Worker in Acworth, GA
• Providers in Acworth, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; 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.