Organization Active NPI

Cathy Sutton LCSW LLC

  • Community/Behavioral Health Agency
  • Braselton, GA
National Provider Identifier
1467973115
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW005489 Issued in GA
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

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Cathy Sutton, LCSWNPI 1699153403
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20180524001138 GA Part B Supplier - Clinic/Group Practice 2062777972 Receives reassigned benefits from 1 practitioner
Practice locations: Dacula, GA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.