Susan E Tutty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004367 Issued in GA

Practice address

1842 Independence SQ
Ste D
Dunwoody, GA 30338-5168

Phone

(678) 982-6189

Fax

(404) 393-8389

NPI assigned

Dec 19, 2012

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 identifiers 1

Other names 1

• Susan E Tutty LLC Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1437495454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 INDEPENDENCE SQ STE D",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385168",
            "telephone_number": "678-982-6189",
            "fax_number": "404-393-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 INDEPENDENCE SQ",
            "address_2": "STE D",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385168",
            "telephone_number": "678-982-6189",
            "fax_number": "404-393-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTY",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003176377A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "TUTTY LLC",
            "middle_name": "E",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Patrick Troidl, PHARMD
• Trusted Private Care
• Holly Ann Tufan, LPC
• Bryan Tuong, PHARMD
• Arleen Turzo, PH.D.
• Deeksha Uday
• Ultrasonics
• Robin T Underwood, PHD, OT/L
• Unfcked Therapy and Wellness
• Daniel Alejandro Valdes, DO

• Clinical Social Worker in Dunwoody, GA
• Providers in Dunwoody, 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 Apr 16, 2019; 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.