Active NPI
Amelia McCroy
- Clinical Social Worker
- Columbus, GA
National Provider Identifier
1669869483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW007646
- Practice address
- 1220 2ND Ave
Columbus, GA 31901-5241 - Phone
- (706) 571-9128
- Fax
- (706) 571-9242
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- No
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 | CSW007646 | GA | Primary |
Addresses
Primary practice location
1220 2ND Ave
Columbus, GA 31901-5241
Mailing address
2683 Terratim LN
Decatur, GA 30034-1057
Phone (662) 902-6508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | NONE |
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 |
|---|---|---|---|
| CSW007646 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1669869483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2683 TERRATIM LN",
"city": "DECATUR",
"state": "GA",
"postal_code": "300341057",
"telephone_number": "662-902-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 2ND AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319015241",
"telephone_number": "706-571-9128",
"fax_number": "706-571-9242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCROY",
"first_name": "AMELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW007646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.