Organization Active NPI

Love Empower Mentor LLC

  • Clinical Social Worker
  • Woodstock, GA
National Provider Identifier
1619502291
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LOVE EMPOWER MENTOR LLC
Practice address
4595 Towne Lake Pkwy Ste 250
Woodstock, GA 30189-5514
Phone
(678) 250-6346
Fax
(770) 995-1959
NPI assigned
Mar 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Olive Aneno, LCSWNPI 1346699493
Title
Owner
Phone
(678) 250-6346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4595 Towne Lake Pkwy Ste 250
Woodstock, GA 30189-5514

Mailing address

531 Rendezvous Rd
Acworth, GA 30102-8802
Phone (678) 250-6346

Other practice location 1

242 Creekstone Rdg
Woodstock, GA 30188-3732
Phone (678) 250-6346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200929001131 GA Part B Supplier - Clinic/Group Practice 6406270180 Receives reassigned benefits from 1 practitioner
Practice locations: Woodstock, GA

National Provider Directory

National Provider Directory

Locations

4595 Towne Lake Pkwy
Ste 250
Woodstock, GA 30189
Phone (678) 250-6346

242 Creekstone Rdg
Woodstock, GA 30188
Phone (678) 445-4184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1619502291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 RENDEZVOUS RD",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301028802",
            "telephone_number": "678-250-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 TOWNE LAKE PKWY STE 250",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895514",
            "telephone_number": "678-250-6346",
            "fax_number": "770-995-1959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Creekstone Rdg",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301883732",
            "country_code": "US",
            "telephone_number": "678-250-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOVE EMPOWER MENTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "ANENO",
        "authorized_official_first_name": "OLIVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-250-6346",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.