Drucilla Moody, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003537 Issued in GA

Legal business name

DRUCILLA MOODY, LCSW

Practice address

1082 Vistavia Cir
Decatur, GA 30033-3413

Phone

(404) 938-9595

Fax

(678) 705-7453

NPI assigned

Mar 3, 2015

Last updated

Mar 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Drucilla Moody, MSW, LCSW

Title

Clinical Social Worker

Phone

(404) 938-9595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1518359348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 VISTAVIA CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333413",
            "telephone_number": "404-938-9595",
            "fax_number": "678-705-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 VISTAVIA CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333413",
            "telephone_number": "404-938-9595",
            "fax_number": "678-705-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUCILLA MOODY, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "DRUCILLA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "404-938-9595",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dajane Dubose

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, 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 3, 2015; 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.