Organization Active NPI

Uplifted Living, LLC

  • Clinical Social Worker
  • Tucker, GA
National Provider Identifier
1619600178
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UPLIFTED LIVING, LLC
Practice address
3654 S Marlborough Dr
Tucker, GA 30084-8313
Phone
(404) 376-1104
NPI assigned
Jul 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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

Authorized official

Name
Rae K Sirott, LCSWNPI 1376265108
Title
Founder
Phone
(404) 376-1104

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

3654 S Marlborough Dr
Tucker, GA 30084-8313

Mailing address

3654 S Marlborough Dr
Tucker, GA 30084-8313
Phone (404) 376-1104

National Provider Directory

National Provider Directory

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": "1656720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656720000000",
    "number": "1619600178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3654 S MARLBOROUGH DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848313",
            "telephone_number": "404-376-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 S MARLBOROUGH DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848313",
            "telephone_number": "404-376-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A",
        "authorized_official_last_name": "SIROTT",
        "authorized_official_first_name": "RAE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "404-376-1104",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.