Individual provider Active NPI

Miranda Ellen Thornton, LMSW

  • Social Worker
  • Atlanta, GA
National Provider Identifier
1407357353
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW011025 Issued in GA
Practice address
500 Sugar Mill Rd Ste 100
Atlanta, GA 30350-2865
Phone
(801) 963-4360
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Social Worker 104100000X MSW011025 GA Primary

Addresses

Primary practice location

500 Sugar Mill Rd Ste 100
Atlanta, GA 30350-2865

Mailing address

500 Sugar Mill Rd Ste 100
Atlanta, GA 30350-2865
Phone (770) 771-6900

Other practice location 1

424 Creekstone Rdg
Woodstock, GA 30188-3740
Phone (801) 635-4636

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

State licenses

LicenseStateTypeSpecialty
MSW011025GAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1407357353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUGAR MILL RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502865",
            "telephone_number": "770-771-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUGAR MILL RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502865",
            "telephone_number": "801-963-4360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Creekstone Rdg",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301883740",
            "country_code": "US",
            "telephone_number": "801-635-4636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "MIRANDA",
        "middle_name": "ELLEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW011025",
            "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 29, 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.