Active NPI
Judy Martin Trexler, LCSW
- Clinical Social Worker
- Valdosta, GA
National Provider Identifier
1568654440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1308
- Practice address
- 109 W Jane St
Valdosta, GA 31601-3950 - Phone
- (229) 671-1461
- Fax
- (229) 671-1471
- NPI assigned
- Aug 14, 2007
- Last updated
- Jan 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1308 | GA | Primary |
Addresses
Primary practice location
109 W Jane St
Valdosta, GA 31601-3950
Mailing address
PO Box 6011
Valdosta, GA 31603-6011
Phone (229) 671-1461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003109170C | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091210000415 | GA | Practitioner - Clinical Social Worker | 1557401270 | Practice locations: Lake Park, GA; Valdosta, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Tennessee, HSC, College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
518 Jackson Cir
Lake Park, GA 31636-4926
Phone (229) 671-1461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1308 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ar Psychiatric & Counseling Center LLC | Past | Accepting new patients | |
| Senior Psych Solutions Corp | Clinical | Past | Accepting new patients |
| Center for Personal and Family Growth LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Valdosta, GA
- NPI 1730503632
-
- Psychiatry Physician
- Valdosta, GA
- NPI 1205126943
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1225078629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1568654440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6011",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316036011",
"telephone_number": "229-671-1461",
"fax_number": "229-671-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W JANE ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316013950",
"telephone_number": "229-671-1461",
"fax_number": "229-671-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREXLER",
"first_name": "JUDY",
"middle_name": "MARTIN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "1308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003109170C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
- Ranya Tomlinson, DMD
- Addison Kelley Toth, M.ED., CF-SLP
- Monique Nicole Toth
- Gabriella Townes
- Tracy W Corbett, LCSW, PC
- Tri State Rehabilitation Inc (Valdosta Pediatric Therapy Services)
- Tri State Rehabilitation Inc (Valdosta Pediatric Therapy Services)
- Tri- County Circle of Care Home Services LLC
- Tri-State Rehabilitation (Valdosta Pediatric Therapy Services)
- Tri-State Rehabilitation Inc. (Valdosta Pediatric Therapy Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.