Individual provider Active NPI

Melanie Anderson, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1700665262
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008002 Issued in GA
Practice address
1820 Independence SQ Ste a
Atlanta, GA 30338-5164
Phone
(404) 836-0999
Fax
(404) 836-0999
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 CSW008002 GA Primary

Addresses

Primary practice location

1820 Independence SQ Ste a
Atlanta, GA 30338-5164

Mailing address

6780 John Rivers Rd
Fairburn, GA 30213-2762
Phone (470) 989-5554

Other practice location 1

690 Courtenay Dr NE
Atlanta, GA 30306-3421
Phone (404) 875-4551

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

LicenseStateTypeSpecialty
CSW008002GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1700665262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 JOHN RIVERS RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132762",
            "telephone_number": "470-989-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 INDEPENDENCE SQ STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385164",
            "telephone_number": "404-836-0999",
            "fax_number": "404-836-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Courtenay Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303063421",
            "country_code": "US",
            "telephone_number": "404-875-4551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008002",
            "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 Sep 25, 2023; 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.