Individual provider Active NPI

Cathy Sutton, LCSW

  • Clinical Social Worker
  • Dacula, GA
National Provider Identifier
1699153403
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005489 Issued in GA
Practice address
3617 Braselton Hwy
Suite 104
Dacula, GA 30019-4667
Phone
(217) 474-6892
Fax
(770) 783-8927
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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 CSW005489 GA Primary

Addresses

Primary practice location

3617 Braselton Hwy
Suite 104
Dacula, GA 30019-4667

Mailing address

3617 Braselton Hwy
Suite 104
Dacula, GA 30019-4667
Phone (217) 474-6892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109001734 GA Practitioner - Clinical Social Worker 8123338894 Reassigns benefits to 1 organization
Practice locations: Dacula, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3617 Braselton Hwy
Suite 104
Dacula, GA 30019-4667
Phone (217) 474-6892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW005489GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cathy Sutton LCSW LLC CurrentSince Sep 30, 2017 Accepting new patients

Locations

3617 Braselton Hwy
Ste 104
Dacula, GA 30019
Phone (678) 451-7006

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1699153403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 BRASELTON HWY",
            "address_2": "SUITE 104",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194667",
            "telephone_number": "217-474-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 BRASELTON HWY",
            "address_2": "SUITE 104",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194667",
            "telephone_number": "217-474-6892",
            "fax_number": "770-783-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "CATHY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

Verify at the official NPI Registry.