Organization Active NPI

Judy S. Greenberg Counseling Services Inc

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1437784402
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JUDY S. GREENBERG COUNSELING SERVICES INC
Practice address
2790 Sandy Plains Rd Ste 203
Marietta, GA 30066-4377
Phone
(770) 579-0880
Fax
(770) 579-0897
NPI assigned
Mar 10, 2020
Last updated
Jul 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Ms. Judy Schulman Greenberg, LCSWNPI 1831105071
Title
Owner
Phone
(770) 579-0880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2790 Sandy Plains Rd Ste 203
Marietta, GA 30066-4377

Mailing address

2790 Sandy Plains Rd Ste 203
Marietta, GA 30066-4377
Phone (770) 579-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200523000086 GA Part B Supplier - Clinic/Group Practice 1557782836 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

2790 Sandy Plains Rd
Ste 203
Marietta, GA 30066
Phone (770) 579-0880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1437784402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 SANDY PLAINS RD STE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664377",
            "telephone_number": "770-579-0880",
            "fax_number": "770-579-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 SANDY PLAINS RD STE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664377",
            "telephone_number": "770-579-0880",
            "fax_number": "770-579-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY S. GREENBERG COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "SCHULMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-579-0880",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.