Organization Active NPI

Helen T Whitley, LCSW, Inc.

  • Clinical Social Worker
  • Woodstock, GA
National Provider Identifier
1689043200
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2001 Issued in GA
Legal business name
HELEN T WHITLEY, LCSW, INC.
Practice address
131 Mirramont Lake Dr
Woodstock, GA 30189-8215
Phone
(770) 517-3363
Fax
(770) 517-3308
NPI assigned
Sep 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Mrs. Helen T Whitley, LCSW
Title
Owner
Phone
(770) 517-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2001 GA Primary

Addresses

Primary practice location

131 Mirramont Lake Dr
Woodstock, GA 30189-8215

Mailing address

131 Mirramont Lake Dr
Woodstock, GA 30189-8215
Phone (770) 517-3363

Other identifiers 1

IdentifierTypeStateIssuer
1093809220OtherGAINDIVIDUAL NPI

Other names 1

  • Helen T Whitley, LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

131 Mirramont Lake Dr
Woodstock, GA 30189
Phone (770) 517-3363

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1689043200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MIRRAMONT LAKE DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898215",
            "telephone_number": "770-517-3363",
            "fax_number": "770-517-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MIRRAMONT LAKE DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898215",
            "telephone_number": "770-517-3363",
            "fax_number": "770-517-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN T WHITLEY, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-517-3363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1093809220",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helen T Whitley, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.