Leigh Douglas Zoller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008214 Issued in GA

Practice address

1090 Founders Blvd Ste B
Athens, GA 30606-6163

Phone

(706) 315-8955

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1396475422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JENNINGS CT APT 2307",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-315-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 FOUNDERS BLVD STE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066163",
            "telephone_number": "706-315-8955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8851 Rand Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365269138",
            "country_code": "US",
            "telephone_number": "706-315-8955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLLER",
        "first_name": "LEIGH",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5054C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.healandthrivetherapy.com/",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mental Health",
            "address_1": "8851 Rand Ave Ste B",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365269138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Wolfe Zehna, PA-C
• Dan Zeitang
• Conan Yingyi Zhao, PHD, MD
• Patricia Zielinski, DO, MPH
• Claire Nichols Zimmerman, LCSW
• William Austin Zorn Jr., M.D.
• Javier Alejandro Zorrilla Munoz, M.D.
• Moises Zouain Estevez, MD
• Eduardo Zouain, MD
• Melissa Zwald

• Clinical Social Worker in Athens, GA
• Providers in Athens, 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 Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.