Organization Active NPI

Dorothy Eberhart LCSW, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1497014450
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW003039 Issued in GA
Legal business name
DOROTHY EBERHART LCSW, LLC
Practice address
5605 Glenridge Dr NE
Suite 600
Atlanta, GA 30342-1365
Phone
(770) 367-4090
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Dorothy Eberhart, LCSWNPI 1821369133
Title
Sole Member
Phone
(770) 367-4090

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 CSW003039 GA Primary

Addresses

Primary practice location

5605 Glenridge Dr NE
Suite 600
Atlanta, GA 30342-1365

Mailing address

4577 Village Dr
Dunwoody, GA 30338-5741
Phone (770) 367-4090

Other identifiers 1

IdentifierTypeStateIssuer
1821369133OtherNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

5605 Glenridge Dr
Ste 600
Sandy Springs, GA 30342
Phone (404) 257-9991

11 Old Fruit Stand Ln
Tiger, GA 30576
Phone (770) 367-4090

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": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1497014450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 VILLAGE DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385741",
            "telephone_number": "770-367-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 GLENRIDGE DR NE",
            "address_2": "SUITE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421365",
            "telephone_number": "770-367-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY EBERHART LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "EBERHART",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "770-367-4090",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW003039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1821369133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.