Jessica Austin, LCSW

Individual provider Active NPI Clinical Social Worker · Toccoa, GA

NPI 1508211459 · NPPES record last updated Nov 8, 2017

Key facts

NPI
1508211459
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CSW005744 (GA)
Practice address
1763 Fernside Dr
Toccoa, GA 30577-8095
Phone
(706) 282-4542
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Avita Community Partners Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/avitapartners/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005744 GA Yes

Addresses

Primary practice location

1763 Fernside Dr
Toccoa, GA 30577-8095

Mailing address

4331 Thurmon Tanner Pkwy
Flowery Branch, GA 30542
Phone (678) 512-5700

Other providers in Toccoa, GA

All providers in Toccoa, GA · Clinical Social Worker in Georgia

Sources for this page

Verify at the official NPI Registry.