Heather B Wademan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003420 Issued in GA

Practice address

60 11TH St NE
Positive Impact
Atlanta, GA 30309-3970

Phone

(404) 589-9040

NPI assigned

Oct 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1538348339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 ADAIR AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063805",
            "telephone_number": "404-873-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 11TH ST NE",
            "address_2": "POSITIVE IMPACT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093970",
            "telephone_number": "404-589-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADEMAN",
        "first_name": "HEATHER",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Wade
• Linda M Wade
• Thomas Wade, M.D.
• Wendi Wade
• Zoe Samira Wade, LPC
• Soniya Wadhwaniya, NP
• Ryan Wadkins, PA
• Danielle Wadley
• Elizabeth Wadsworth, MD, MSCR
• Dean Wagenbrenner, LAPC

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, 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 Aug 21, 2013; 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.