Pauleena Akers, LCSW

Key facts

NPI

1679254643

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

CSW008162 (GA)

Practice address

304 N Livingston St
Sylvester, GA 31791-2074

Phone

(229) 206-4626

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

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

• Tift Regional Health System Inc Family Medicine Physician · Tifton, GA · NPI 1881203305
  Medicare reassignment GA

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 31, 2023.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1679254643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N LIVINGSTON ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317912074",
            "telephone_number": "229-206-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N LIVINGSTON ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317912074",
            "telephone_number": "229-206-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKERS",
        "first_name": "PAULEENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Sylvester, GA · Clinical Social Worker in Georgia