Individual provider Active NPI

Judith Salmon, LMSW

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1649241423
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004022 Issued in GA
Practice address
455 N Lumpkin St
Athens, GA 30601-2744
Phone
(706) 369-7911
Fax
(706) 208-9509
NPI assigned
Jan 30, 2006
Last updated
Dec 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW000422 GA
Clinical Social Worker 1041C0700X CSW004022 GA Primary

Addresses

Primary practice location

455 N Lumpkin St
Athens, GA 30601-2744

Mailing address

455 N Lumpkin St
Athens, GA 30601-2744
Phone (706) 369-7911

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
I20100511000702 GA Practitioner - Clinical Social Worker 3779611876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Huntington Rd
Suite 204
Athens, GA 30606-7206
Phone (706) 543-4948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW000422GAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
JMS Counseling LLC Clinical CurrentSince May 6, 2016 Accepting new patients
Athens Pastoral Counseling Dba Samaritan Counseling Center PastSince Jul 28, 2015 Accepting new patients
Advantage Behavioral Health Systems PastSince Nov 4, 2009 Accepting new patients

Locations

1 Huntington Rd
Ste 204
Athens, GA 30606
Phone (706) 543-4948

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1649241423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N LUMPKIN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012744",
            "telephone_number": "706-369-7911",
            "fax_number": "706-208-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N LUMPKIN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012744",
            "telephone_number": "706-369-7911",
            "fax_number": "706-208-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "JUDITH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW000422",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.