Individual provider Active NPI

Viola Thomas, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1699041673
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006502 Issued in GA
Practice address
2870 Peachtree Rd NW Ste 915-8139
Atlanta, GA 30305-2918
Phone
(706) 438-2276
NPI assigned
Mar 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW006502 GA Primary

Addresses

Primary practice location

2870 Peachtree Rd NW Ste 915-8139
Atlanta, GA 30305-2918

Mailing address

2870 Peachtree Rd NW Ste 915-8139
Atlanta, GA 30305-2918
Phone (706) 438-2276

Other practice location 1

29240 Buckingham St
Suite 5
Livonia, MI 48154-4575
Phone (734) 266-0640

Other identifiers 1

IdentifierTypeStateIssuer
003233992AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL demystiphi@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW006502GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Demystiphi LLC Clinical Current Accepting new patients

Locations

2870 Peachtree Rd NW
Atlanta, GA 30305
Phone (404) 410-0224

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.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1699041673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 PEACHTREE RD NW STE 915-8139",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052918",
            "telephone_number": "706-438-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 PEACHTREE RD NW STE 915-8139",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052918",
            "telephone_number": "706-438-2276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29240 Buckingham St",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481544575",
            "country_code": "US",
            "telephone_number": "734-266-0640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "VIOLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003233992A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "demystiphi@gmail.com",
            "affiliation": "N",
            "address_1": "2870 Peachtree Rd NW Ste 915-8139",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303052918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 18, 2022; 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.