Individual provider Active NPI

Claire Capobianco, LCSW

  • Clinical Social Worker
  • Lawrenceville, GA
National Provider Identifier
1700169661
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005318 Issued in GA
Practice address
5435 Sugarloaf Pkwy Ste 1102
Lawrenceville, GA 30043-5700
Phone
(678) 680-8858
NPI assigned
Sep 27, 2011
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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 CSW005318 GA Primary

Addresses

Primary practice location

5435 Sugarloaf Pkwy Ste 1102
Lawrenceville, GA 30043-5700

Mailing address

11585 Jones Bridge Rd Ste
Johns Creek, GA 30022-7476
Phone (678) 680-8858

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
I20181023002262 GA Practitioner - Clinical Social Worker 1254684178 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

Suwanee, GA 30024
Phone (678) 680-8858

11585 Jones Bridge Rd
Johns Creek, GA 30022-7476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW005318GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Compassionate Couch LLC Clinical CurrentSince Aug 5, 2021 Accepting new patients
View Point Health CurrentSince Aug 31, 2018 Accepting new patients

Locations

11585 Jones Bridge Rd
Ste 420
Johns Creek, GA 30022
Phone (770) 282-7733

175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394

5030 Georgia Belle Ct
Ste 2036
Norcross, GA 30093
Phone (678) 209-2745

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1700169661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11585 JONES BRIDGE RD STE",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227476",
            "telephone_number": "678-680-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY STE 1102",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435700",
            "telephone_number": "678-680-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOBIANCO",
        "first_name": "CLAIRE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2021-11-15",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.