Active NPI
Viola Thomas, LCSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1699041673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006502
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003233992A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006502 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1790438117
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.