Individual provider Active NPI

Sherry Renee Baldwin, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1518486000
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007159 Issued in GA
Practice address
424 Decatur St SE
Atlanta, GA 30312-1848
Phone
(678) 843-8600
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW007419 GA
Clinical Social Worker 1041C0700X CSW007159 GA Primary

Addresses

Primary practice location

424 Decatur St SE
Atlanta, GA 30312-1848

Mailing address

3427 Creekview Dr
Rex, GA 30273-5039
Phone (678) 612-9140

Other practice location 1

6645 Peachtree Dunwoody Rd
Atlanta, GA 30328-1606
Phone (770) 455-7111

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
I20200723001755 GA Practitioner - Clinical Social Worker 1355765355 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW007419GAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph'S Mercy Care Services, Inc. Current Accepting new patients
Saint Joseph'S Mercy Care Services Inc Current Accepting new patients
Saint Joseph'S Mercy Care Services, Inc. Current Accepting new patients
A Better Way Health Care Services, LLC Ga CurrentSince Jun 29, 2024 Accepting new patients
Bethany Christian Services Past Accepting new patients
Bethany Christian Services of Georgia Past Accepting new patients

Locations

1300 Joseph E Boone Blvd NW
Atlanta, GA 30314
Phone (404) 952-1201

275 Pryor St SW
Atlanta, GA 30303
Phone (678) 843-8840

424 Decatur St SE
Atlanta, GA 30312
Phone (678) 843-8500

5134 Peachtree Rd
Chamblee, GA 30341
Phone (678) 872-7100

1745 Phoenix Blvd
Ste 305
College Park, GA 30349
Phone (470) 619-0770

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1518486000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 CREEKVIEW DR",
            "city": "REX",
            "state": "GA",
            "postal_code": "302735039",
            "telephone_number": "678-612-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 DECATUR ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121848",
            "telephone_number": "678-843-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6645 Peachtree Dunwoody Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303281606",
            "country_code": "US",
            "telephone_number": "770-455-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "SHERRY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW007419",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.