Organization Active NPI

Jane R Furtner Inc

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1689806002
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001270 Issued in GA
Legal business name
JANE R FURTNER INC
Practice address
6755 Peachtree Industrial Blvd
Ste 110
Atlanta, GA 30360-2223
Phone
(770) 825-0448
Fax
(770) 451-9731
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Jane R Furtner, LCSW
Title
President
Phone
(770) 825-0448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW001270 GA Primary

Addresses

Primary practice location

6755 Peachtree Industrial Blvd
Ste 110
Atlanta, GA 30360-2223

Mailing address

4481 Pineridge Cir
Dunwoody, GA 30338-6540
Phone (770) 825-0448

Other identifiers 1

IdentifierTypeStateIssuer
611047524AMedicaidGA

National Provider Directory

National Provider Directory

Locations

6755 Peachtree Industrial Blvd
Ste 110
Atlanta, GA 30360
Phone (404) 312-6531

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1689806002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4481 PINERIDGE CIR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386540",
            "telephone_number": "770-825-0448",
            "fax_number": "770-451-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303602223",
            "telephone_number": "770-825-0448",
            "fax_number": "770-451-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE R FURTNER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "FURTNER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-825-0448",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611047524A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.