Susan E Tutty LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUSAN E TUTTY LLC

Practice address

1842 Independence SQ Ste D
Dunwoody, GA 30338-5168

Phone

(678) 982-6189

Fax

(404) 393-8389

NPI assigned

Apr 3, 2019

Last updated

Apr 3, 2019By 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

Susan E Tutty, LCSWNPI 1437495454

Title

Owner-Psychotherapist

Phone

(678) 982-6189

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan E Tutty, LCSW

  • Clinical Social Worker
  • Dunwoody, GA
  • NPI 1437495454
  Authorized official Same address or phone
• Marcella E Fulton, LCSW

  • Clinical Social Worker
  • Dunwoody, GA
  • NPI 1568645802
  NPD

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1558823955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 INDEPENDENCE SQ STE D",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385168",
            "telephone_number": "678-982-6189",
            "fax_number": "404-393-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 INDEPENDENCE SQ STE D",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385168",
            "telephone_number": "678-982-6189",
            "fax_number": "404-393-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN E TUTTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "TUTTY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER-PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "678-982-6189",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003176377A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Dunwoody, GA
• Providers in Dunwoody, 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 Apr 3, 2019; 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.