Active NPI
Alieizoria Redd, LCSW
- Clinical Social Worker
- Ellenwood, GA
National Provider Identifier
1417973199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2884
- Practice address
- 645 Morgans Trce
Ellenwood, GA 30294-4511 - Phone
- (678) 565-8596
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2884 | GA | Primary |
Addresses
Primary practice location
645 Morgans Trce
Ellenwood, GA 30294-4511
Mailing address
645 Morgans Trce
Ellenwood, GA 30294-4511
Phone (678) 565-8596
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2884 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417973199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 MORGANS TRCE",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302944511",
"telephone_number": "678-565-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 MORGANS TRCE",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302944511",
"telephone_number": "678-565-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDD",
"first_name": "ALIEIZORIA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "2884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenwood, GA
- Camille Rainey, CNA
- Dolly S Rajamannar, OD
- Juna Gwendolyn Rankine
- Ahmari Shemari Rawls, DPT
- Reach Out Housing and Wellness Project Inc
- Lawanda Reese, M.S., CCC-SLP
- Rehabilitation Concepts, LLC
- Janette Reid, RN
- Reliable Medical Mobile Phlebotomy,LLC (Reliable medical mobile phlebotomy)
- Resmedics Staffing and Medical Equipment Services (Resmedics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.