Active NPI
Rhonda B Haile, LCSW
- Clinical Social Worker
- Stone Mountain, GA
National Provider Identifier
1609257617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW001908
- Practice address
- 6829 Cottage Oaks CT
Suite B
Stone Mountain, GA 30087-4793 - Phone
- (404) 861-6256
- NPI assigned
- Jun 16, 2015
- 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 | CSW001908 | GA | Primary |
Addresses
Primary practice location
6829 Cottage Oaks CT
Suite B
Stone Mountain, GA 30087-4793
Mailing address
6829 Cottage Oaks CT
Suite B
Stone Mountain, GA 30087-4793
Phone (404) 861-6256
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1609257617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6829 COTTAGE OAKS CT",
"address_2": "SUITE B",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300874793",
"telephone_number": "404-861-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6829 COTTAGE OAKS CT",
"address_2": "SUITE B",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300874793",
"telephone_number": "404-861-6256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILE",
"first_name": "RHONDA",
"middle_name": "B",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW001908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.