Active NPI
Courtney McClure, LMSW
- Social Worker
- Atlanta, GA
National Provider Identifier
1720786148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW010451
- Practice address
- 2296 Henderson Mill Rd NE Ste 306a
Atlanta, GA 30345-2739 - Phone
- (770) 492-2748
- NPI assigned
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| MSW010451 | GA | MD | Social Worker |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW010451 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2296 Henderson Mill Rd NE Ste 306a
Atlanta, GA 30345-2739
Mailing address
1045 N Point Dr
Roswell, GA 30075-4108
Phone (678) 689-5054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2023.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1720786148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 N POINT DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300754108",
"telephone_number": "678-689-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2296 HENDERSON MILL RD NE STE 306A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452739",
"telephone_number": "770-492-2748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "COURTNEY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-16",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW010451",
"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 Feb 16, 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.