Active NPI
Cathy Sutton LCSW LLC
- Community/Behavioral Health Agency
- Braselton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CSW005489
- Legal business name
- CATHY SUTTON LCSW LLC
- Practice address
- 300 Broadway Ave
Braselton, GA 30517 - Phone
- (217) 474-6892
- Fax
- (706) 824-1870
- NPI assigned
- Jul 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cathy Sutton, LCSW
- Title
- Provider
- Phone
- (217) 474-6892
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CSW005489 | GA | Primary |
Addresses
Primary practice location
300 Broadway Ave
Braselton, GA 30517
Mailing address
4631 Windcroft Cir
Hoschton, GA 30548-3484
Phone (217) 474-6892
Other practice location 1
3617 Braselton Hwy Ste 104
Dacula, GA 30019-4667
Phone (217) 474-6892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180524001138 | GA | Part B Supplier - Clinic/Group Practice | 2062777972 |
Receives reassigned benefits from 1 practitioner Practice locations: Dacula, GA |
National Provider Directory
National Provider DirectoryLocations
300 Broadway Ave
Braselton, GA 30517
Phone (470) 236-8131
3617 Braselton Hwy
Ste 104
Dacula, GA 30019
Phone (678) 451-7006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1467973115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 WINDCROFT CIR",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305483484",
"telephone_number": "217-474-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BROADWAY AVE",
"city": "BRASELTON",
"state": "GA",
"postal_code": "30517",
"telephone_number": "217-474-6892",
"fax_number": "706-824-1870"
}
],
"practiceLocations": [
{
"address_1": "3617 Braselton Hwy Ste 104",
"address_purpose": "LOCATION",
"city": "Dacula",
"state": "GA",
"postal_code": "300194667",
"country_code": "US",
"telephone_number": "217-474-6892",
"fax_number": "770-783-8927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CATHY SUTTON LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-03",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "SUTTON",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "217-474-6892",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "CSW005489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.