Organization Active NPI

Social Work Foundation, Inc

  • Clinical Social Worker
  • College Park, GA
National Provider Identifier
1649894007
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOCIAL WORK FOUNDATION, INC
Practice address
3707 Main St # 11-2
College Park, GA 30337-3544
Phone
(404) 936-0088
NPI assigned
Jun 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Cynthia Bacon-Whitted
Title
Owner
Phone
(404) 936-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3707 Main St # 11-2
College Park, GA 30337-3544

Mailing address

3707 Main St # 11-2
College Park, GA 30337-3544
Phone (404) 936-0088

National Provider Directory

National Provider Directory

Locations

3707 Main St
Ste 112
College Park, GA 30337
Phone (404) 991-5848

3707 Main St
#112
College Park, GA 30337
Phone (404) 936-0088

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1649894007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 MAIN ST # 11-2",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373544",
            "telephone_number": "404-936-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 MAIN ST # 11-2",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373544",
            "telephone_number": "404-936-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL WORK FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "BACON-WHITTED",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-936-0088"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.