Individual provider Active NPI

Helise Sheri Sandborn, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1699762013
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001151 Issued in GA
Practice address
7000 Peachtree Dunwoody Rd
BLDG 6 Ste 302
Atlanta, GA 30328-1655
Phone
(678) 234-6089
Fax
(678) 579-9664
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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 001151 GA Primary

Addresses

Primary practice location

7000 Peachtree Dunwoody Rd
BLDG 6 Ste 302
Atlanta, GA 30328-1655

Mailing address

7000 Peachtree Dunwoody Rd
BLDG 6 Ste 302
Atlanta, GA 30328-1655
Phone (678) 234-6089

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
001151GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1699762013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 PEACHTREE DUNWOODY RD",
            "address_2": "BLDG 6 STE 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281655",
            "telephone_number": "678-234-6089",
            "fax_number": "678-579-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 PEACHTREE DUNWOODY RD",
            "address_2": "BLDG 6 STE 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281655",
            "telephone_number": "678-234-6089",
            "fax_number": "678-579-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBORN",
        "first_name": "HELISE",
        "middle_name": "SHERI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "001151",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 29, 2016; 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.