Active NPI
Susan S Westergard, LCSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1588948657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW004363
- Practice address
- 864 Gilbert St SE
Atlanta, GA 30316-2478 - Phone
- (404) 545-5820
- NPI assigned
- Oct 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA002090 | GA | |
| Clinical Social Worker | 1041C0700X | LCSW004363 | GA | Primary |
Addresses
Primary practice location
864 Gilbert St SE
Atlanta, GA 30316-2478
Mailing address
864 Gilbert St SE
Atlanta, GA 30316-2478
Phone (404) 545-5820
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 |
|---|---|---|---|
| LCSW004363 | GA | MD | Clinical Social Worker |
| PTA002090 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1588948657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "864 GILBERT ST SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162478",
"telephone_number": "404-545-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "864 GILBERT ST SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162478",
"telephone_number": "404-545-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTERGARD",
"first_name": "SUSAN",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA002090",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "LCSW004363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.