Active NPI
Erica Acebo-Johnston, LCSW
- Clinical Social Worker
- Douglasville, GA
National Provider Identifier
1447768155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005891
- Practice address
- 8335 Office Park Dr
Douglasville, GA 30134-6937 - Phone
- (678) 324-0476
- NPI assigned
- Jan 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 | CSW005891 | GA | Primary |
Addresses
Primary practice location
8335 Office Park Dr
Douglasville, GA 30134-6937
Mailing address
3197 Ivory TRL SW
Marietta, GA 30060-6368
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW005891 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1447768155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3197 IVORY TRL SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300606368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8335 OFFICE PARK DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346937",
"telephone_number": "678-324-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEBO-JOHNSTON",
"first_name": "ERICA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglasville, GA
- Kirsten Abercrombie, RBT
- Able Hearing Solutions, Inc (Beltone)
- Able Hearing Solutions, Inc. (Beltone)
- Accuquest Hearing Center, LLC
- Ace Pediatric Therapy Services, LLC
- Lisa Achille
- Acupuncture Herbs Clinic Inc
- Adams Learning Academy, Inc. (Adams Learning Academy)
- Denise L Adams, RN, NP, IBCLC
- Iris Maria Adams
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.