Individual provider Active NPI

Brenda Joyce Hinson Gillespie, LMSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1407464126
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MSW003874 Issued in GA
Practice address
80 Joseph E Lowery Blvd NW
Atlanta, GA 30314-3421
Phone
(404) 853-2859
Fax
(404) 853-2884
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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 MSW003874 GA Primary

Addresses

Primary practice location

80 Joseph E Lowery Blvd NW
Atlanta, GA 30314-3421

Mailing address

80 Joseph E Lowery Blvd NW
Atlanta, GA 30314-3421
Phone (404) 853-2859

Other identifiers 1

IdentifierTypeStateIssuer
MSW003874OtherGALMSW NUMBER

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
MSW003874GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families First Clinical CurrentSince Oct 1, 2020 Accepting new patients

Locations

80 Joseph E Lowery Blvd NW
Atlanta, GA 30314
Phone (404) 541-3035

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1407464126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JOSEPH E LOWERY BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303143421",
            "telephone_number": "404-853-2859",
            "fax_number": "404-853-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JOSEPH E LOWERY BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303143421",
            "telephone_number": "404-853-2859",
            "fax_number": "404-853-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "BRENDA",
        "middle_name": "JOYCE HINSON",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW003874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW NUMBER",
            "identifier": "MSW003874",
            "state": "GA"
        }
    ],
    "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 Jul 20, 2020; 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.