Active NPI
Racquel Casandra Gayle, LCSW
- Clinical Social Worker
- Stonecrest, GA
National Provider Identifier
1619785532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW008668
- Practice address
- 3579 Drayton PL
Stonecrest, GA 30038-3597 - Phone
- (678) 751-1421
- NPI assigned
- Dec 23, 2024
- 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 | CSW008668 | GA | Primary |
Addresses
Primary practice location
3579 Drayton PL
Stonecrest, GA 30038-3597
Mailing address
3579 Drayton PL
Stonecrest, GA 30038-3597
Phone (678) 751-1421
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 |
|---|---|---|---|
| CSW008668 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1619785532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3579 DRAYTON PL",
"city": "STONECREST",
"state": "GA",
"postal_code": "300383597",
"telephone_number": "678-751-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3579 DRAYTON PL",
"city": "STONECREST",
"state": "GA",
"postal_code": "300383597",
"telephone_number": "678-751-1421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYLE",
"first_name": "RACQUEL",
"middle_name": "CASANDRA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-23",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW008668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stonecrest, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.