NPIMap

Organization Active NPI

Underdue Social Services

  • Exclusive Provider Organization
  • Stockbridge, GA
National Provider Identifier
1720303092
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
UNDERDUE SOCIAL SERVICES
Practice address
165 Burke St
Stockbridge, GA 30281-3463
Phone
(770) 389-9886
NPI assigned
Mar 30, 2010
Last updated
Mar 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Ms. Kimberly Underdue, LMSWNPI 1356575476
Title
Executive Director
Phone
(770) 389-9886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X GA Primary

Addresses

Primary practice location

165 Burke St
Stockbridge, GA 30281-3463

Mailing address

165 Burke St
Stockbridge, GA 30281-3463

National Provider Directory

National Provider Directory

Locations

165 Burke St
Stockbridge, GA 30281
Phone (770) 389-9886

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1720303092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BURKE ST",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BURKE ST",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813463",
            "telephone_number": "770-389-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERDUE SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "UNDERDUE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-389-9886",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.