Individual provider Active NPI

Cheryl Amyle Johnson Ransaw, L.C.S.W., C.E.A.P.

  • Clinical Social Worker
  • Tucker, GA
National Provider Identifier
1477847424
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW000783 Issued in GA
Practice address
2175 Northlake Pkwy
Suite 130, Building 4
Tucker, GA 30084-4163
Phone
(404) 794-7101
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW000783 GA Primary

Addresses

Primary practice location

2175 Northlake Pkwy
Suite 130, Building 4
Tucker, GA 30084-4163

Mailing address

501 Breakwater Ter
Stone Mountain, GA 30087-5307
Phone (404) 794-7101

Other identifiers 2

IdentifierTypeStateIssuer
0039670OtherGAEMPLOYEE ASSISTANCE CERTIFICATION COMMISSION
CSW000783OtherGAGEORGIA COMPOSITE BOARD OF PC, SW, AND MFT

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW000783GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1477847424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BREAKWATER TER",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875307",
            "telephone_number": "404-794-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 NORTHLAKE PKWY",
            "address_2": "SUITE 130, BUILDING 4",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844163",
            "telephone_number": "404-794-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON RANSAW",
        "first_name": "CHERYL",
        "middle_name": "AMYLE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W., C.E.A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW000783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE ASSISTANCE CERTIFICATION COMMISSION",
            "identifier": "0039670",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMPOSITE BOARD OF PC, SW, AND MFT",
            "identifier": "CSW000783",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.