Active NPI
Elizabeth Yaughn Perlmutter, LCSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1700222049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004275
- Practice address
- 2200 Century Pkwy NE Ste 200
Atlanta, GA 30345-3103 - Phone
- (678) 335-4646
- NPI assigned
- May 14, 2013
- Last updated
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | CSW004275 | GA | Primary |
Addresses
Primary practice location
2200 Century Pkwy NE Ste 200
Atlanta, GA 30345-3103
Mailing address
2200 Century Pkwy NE Ste 200
Atlanta, GA 30345-3103
Phone (678) 335-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 22, 2024 through Jan 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW004275 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1700222049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 CENTURY PKWY NE STE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453103",
"telephone_number": "678-335-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 CENTURY PKWY NE STE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453103",
"telephone_number": "678-335-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLMUTTER",
"first_name": "ELIZABETH",
"middle_name": "YAUGHN",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004275",
"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 Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.