Individual provider Active NPI

Melanie Storrusten, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1538518014
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004317 Issued in GA
Practice address
2295 Parklake Dr NE Ste 426
Atlanta, GA 30345-2812
Phone
(404) 401-2587
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 CSW004317 GA Primary

Addresses

Primary practice location

2295 Parklake Dr NE Ste 426
Atlanta, GA 30345-2812

Mailing address

2295 Parklake Dr NE Ste 426
Atlanta, GA 30345-2812
Phone (404) 401-2587

Other practice location 1

2566 Oak Ave
Tucker, GA 30084-3519
Phone (404) 401-2587

Other practice location 2

2566 Oak Ave
Tucker, GA 30084-3519
Phone (404) 401-2587

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
I20180217000014 GA Practitioner - Clinical Social Worker 2769742535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Align Wellness Solutions LLC CurrentSince Dec 14, 2017 Accepting new patients

Locations

2295 Parklake Dr NE
Ste 426
Atlanta, GA 30345
Phone (404) 401-2587

125 N Broad St
Ste 210
Thomasville, GA 31792
Phone (229) 403-4239

3548 Habersham At Northlake
Tucker, GA 30084
Phone (404) 401-2587

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.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1538518014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 PARKLAKE DR NE STE 426",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452812",
            "telephone_number": "404-401-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 PARKLAKE DR NE STE 426",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452812",
            "telephone_number": "404-401-2587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2566 Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300843519",
            "country_code": "US",
            "telephone_number": "404-401-2587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2566 Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300843519",
            "country_code": "US",
            "telephone_number": "404-401-2587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORRUSTEN",
        "first_name": "MELANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.