Crestre Merita Boddy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005782 Issued in GA

Practice address

3330 Cumberland Blvd SE Ste 500
Atlanta, GA 30339-5997

Phone

(770) 933-6222

Fax

(404) 228-6597

NPI assigned

Jun 2, 2016

Last updated

Jun 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Better Self, LLCGroup PAC ID 5092063479, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Better Self LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Douglasville, GA
  • NPI 1730667056
  Medicare reassignment Care Compare group NPD
• Counseling Crisis and Caring, LLC

  • Health Maintenance Organization
  • Atlanta, GA
  • NPI 1295108140
  NPD (past) Authorized official
• Betterself Community Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mableton, GA
  • NPI 1295398345
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1598113276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395997",
            "telephone_number": "770-933-6222",
            "fax_number": "404-228-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395997",
            "telephone_number": "770-933-6222",
            "fax_number": "404-228-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDY",
        "first_name": "CRESTRE",
        "middle_name": "MERITA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Patrick Bobzien, M.D.
• Linda Busse Boccuti, RN, BC FNP
• Elizabeth Anne Bochtler, M.D.
• Whitney Boda, LPC
• William L Boddie, MD
• Alexander Diaz Bode, MD
• Angela Luree Bode, LPC, MAC, CAADC
• Bruce Welsh Bode, M.D.
• Erica Bodechon
• Brittany Boden, LCSW, CGP

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, 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 Jun 2, 2016; 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.

Verify at the official NPI Registry.