Individual provider Active NPI

Jeffery Todd Stringer, LCSW

  • Clinical Social Worker
  • Douglas, GA
National Provider Identifier
1629652201
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007401 Issued in GA
Practice address
303 Shirley Ave Ste a
Douglas, GA 31533-2367
Phone
(912) 383-8806
Fax
(912) 383-8147
NPI assigned
May 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW007401 GA Primary

Addresses

Primary practice location

303 Shirley Ave Ste a
Douglas, GA 31533-2367

Mailing address

607 Horseshoe Bend Rd Lot 5
Ocilla, GA 31774-3154
Phone (229) 468-9166

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210528001493 GA Practitioner - Clinical Social Worker 8022417773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Primary Care Center, Inc Past Accepting new patients
South Central Primary Care Center, Inc Past Accepting new patients
South Central Primary Care Center, Inc Past Accepting new patients
South Central Primary Care Center, Inc Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1629652201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HORSESHOE BEND RD LOT 5",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317743154",
            "telephone_number": "229-468-9166",
            "fax_number": "229-468-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SHIRLEY AVE STE A",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332367",
            "telephone_number": "912-383-8806",
            "fax_number": "912-383-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRINGER",
        "first_name": "JEFFERY",
        "middle_name": "TODD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.