Susan Ahearn, L.C.S.W.
Individual provider Active NPI Social Worker · Atlanta, GA
NPI 1689117178 · NPPES record last updated Dec 1, 2016
Key facts
- NPI
- 1689117178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- CSW 003143 (GA)
- Practice address
- 824 Greenwood Ave NE Apt 12
Atlanta, GA 30306-3739 - Phone
- (678) 927-0632
- NPI assigned
- Dec 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW 003143 | GA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW 003143 | GA | Yes |
Addresses
Primary practice location
824 Greenwood Ave NE Apt 12
Atlanta, GA 30306-3739
Mailing address
824 Greenwood Ave NE Apt 12
Atlanta, GA 30306-3739
Phone (678) 927-0632
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.