Individual provider Active NPI

Cindy Ann Foster

  • Clinical Social Worker
  • Martinez, GA
National Provider Identifier
1518135185
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW002401 Issued in GA
Practice address
4210 Columbia Rd
4A
Martinez, GA 30907-0403
Phone
(706) 312-6885
Fax
(706) 922-7630
NPI assigned
Feb 15, 2008
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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 CSW002401 GA Primary

Addresses

Primary practice location

4210 Columbia Rd
4A
Martinez, GA 30907-0403

Mailing address

4210 Columbia Rd
4A
Martinez, GA 30907-0403
Phone (706) 312-6885

Other names 1

  • Mrs. Cindy Ann Kracht Foster Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170502002514 GA Practitioner - Clinical Social Worker 4183901002 Practice locations: Martinez, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4210 Columbia Rd
Martinez, GA 30907-0403
Phone (706) 312-6885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW002401GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1518135185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA RD",
            "address_2": "4A",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070403",
            "telephone_number": "706-312-6885",
            "fax_number": "706-922-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA RD",
            "address_2": "4A",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070403",
            "telephone_number": "706-312-6885",
            "fax_number": "706-922-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "CINDY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "KRACHT FOSTER",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "L.C.S.W., A.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Martinez, GA

Sources for this page

Verify at the official NPI Registry.