Jessica Austin Northrop, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004865 Issued in GA

Practice address

323 Vine Creek Dr
Acworth, GA 30101-5908

Phone

(470) 246-3717

Fax

(770) 928-5731

NPI assigned

Nov 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica Dawn Austin Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Northrop Connection, LLCGroup PAC ID 6800104506, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Northrop Connection, LLC

  • Clinical Social Worker
  • Dallas, GA
  • NPI 1912398868
  Medicare reassignment Care Compare group NPD Authorized official
• Behavioral Healthcare of Fredericksburg PLLC

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1700956398
  NPD (past)

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1497909998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 MAIN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884916",
            "telephone_number": "470-246-3717",
            "fax_number": "770-928-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 VINE CREEK DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015908",
            "telephone_number": "470-246-3717",
            "fax_number": "770-928-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHROP",
        "first_name": "JESSICA",
        "middle_name": "AUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497909998",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "AUSTIN",
            "middle_name": "DAWN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Acworth, GA
• Providers in Acworth, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.