Sally H Clanin, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004476 Issued in GA

Legal business name

SALLY H CLANIN, LCSW, LLC

Practice address

922 Highway 81 E
Ste 151
McDonough, GA 30252-2978

Phone

(828) 989-0160

NPI assigned

Aug 20, 2015

Last updated

Aug 20, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sally H. Clanin, LCSW

Title

Owner

Phone

(828) 989-0160

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1710353156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 JONESBORO ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533164",
            "telephone_number": "828-989-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 HIGHWAY 81 E",
            "address_2": "STE 151",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302522978",
            "telephone_number": "828-989-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY H CLANIN, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "CLANIN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-989-0160",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in McDonough, GA
• Providers in McDonough, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.