Active NPI
Jessica Karell
- Social Worker
- Suwanee, GA
National Provider Identifier
1588325518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW008640
- Practice address
- 4411 Suwanee Dam Rd Ste 450
Suwanee, GA 30024-8706 - Phone
- (770) 283-8386
- NPI assigned
- Jan 3, 2022
- Last updated
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW008640 | GA | Primary |
Addresses
Primary practice location
4411 Suwanee Dam Rd Ste 450
Suwanee, GA 30024-8706
Mailing address
4411 Suwanee Dam Rd Ste 450
Suwanee, GA 30024-8706
Phone (770) 283-8386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW008640 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1588325518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 SUWANEE DAM RD STE 450",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300248706",
"telephone_number": "770-283-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 SUWANEE DAM RD STE 450",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300248706",
"telephone_number": "770-283-8386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARELL",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW008640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.