Active NPI
Seymone Porter, LCSW
- Clinical Social Worker
- Grayson, GA
National Provider Identifier
1649570326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW002243
- Practice address
- 35 Kaktovic CT
Grayson, GA 30017-4339 - Phone
- (404) 542-5565
- Fax
- (678) 395-5605
- NPI assigned
- Oct 27, 2010
- 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 | CSW002243 | GA | Primary |
Addresses
Primary practice location
35 Kaktovic CT
Grayson, GA 30017-4339
Mailing address
35 Kaktovic CT
Grayson, GA 30017-4339
Phone (404) 542-5565
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1649570326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 KAKTOVIC CT",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300174339",
"telephone_number": "404-542-5565",
"fax_number": "678-395-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 KAKTOVIC CT",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300174339",
"telephone_number": "404-542-5565",
"fax_number": "678-395-5605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "SEYMONE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-27",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW002243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.