Active NPI
Lashon Poole Wells, LCSW
- Clinical Social Worker
- Snellville, GA
National Provider Identifier
1679119903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006920
- Practice address
- 1350 Scenic Highway Ste 266
1350 Scenic Highway Ste 266
Snellville, GA 30078 - Phone
- (678) 777-6949
- NPI assigned
- Nov 21, 2019
- Last updated
- Nov 21, 2019
- 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 | CSW006920 | GA | Primary |
Addresses
Primary practice location
1350 Scenic Highway Ste 266
1350 Scenic Highway Ste 266
Snellville, GA 30078
Mailing address
1350 Scenic Highway Ste 266
1350 Scenic Highway Ste 266
Snellville, GA 30078
Phone (678) 777-6949
Other practice location 1
1350 Scenic Highway ste 266
1350 Scenic Highway ste 266
Snellville, GA 30078
Phone (678) 777-6949 ext. 67877
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 |
|---|---|---|---|
| CSW006920 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1679119903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 SCENIC HIGHWAY STE 266",
"address_2": "1350 SCENIC HIGHWAY STE 266",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "30078",
"telephone_number": "678-777-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 SCENIC HIGHWAY STE 266",
"address_2": "1350 SCENIC HIGHWAY STE 266",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "30078",
"telephone_number": "678-777-6949"
}
],
"practiceLocations": [
{
"address_1": "1350 Scenic Highway ste 266",
"address_2": "1350 Scenic Highway ste 266",
"address_purpose": "LOCATION",
"city": "Snellville",
"state": "GA",
"postal_code": "30078",
"country_code": "US",
"telephone_number": "678-777-6949 x67877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "LASHON",
"middle_name": "POOLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.