Active NPI
Helen T Whitley, LCSW, Inc.
- Clinical Social Worker
- Woodstock, GA
National Provider Identifier
1689043200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093809220 | Other | GA | INDIVIDUAL NPI |
Other names 1
- Helen T Whitley, LCSW
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Woodstock, GA
- NPI 1205911351
-
- Clinical Social Worker
- Woodstock, GA
- NPI 1922183185
-
- Chiropractor
- Acworth, GA
- NPI 1144349028
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.