Social Services Institute, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

CSW001776 Issued in GA

Legal business name

SOCIAL SERVICES INSTITUTE, LLC

Practice address

4581 Duron PL SW
Mableton, GA 30126-1177

Phone

(770) 944-7280

Fax

(770) 944-7280

NPI assigned

Jul 14, 2012

Organization subpart

No

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

Authorized official

Name

Henry Earl Roberson, LCSWNPI 1851785885

Title

Clinical Director/Owner

Phone

(770) 944-7280

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Earl Roberson

  • Clinical Social Worker
  • Augusta, GA
  • NPI 1851785885
  NPD (past) Authorized official

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

{
    "created_epoch": "1342224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342224000000",
    "number": "1740535962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1821",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261013",
            "telephone_number": "770-944-7280",
            "fax_number": "770-944-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4581 DURON PL SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261177",
            "telephone_number": "770-944-7280",
            "fax_number": "770-944-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL SERVICES INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-14",
        "last_updated": "2012-07-14",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "770-944-7280",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "GA",
            "license": "CSW001776",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "CSW001776",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": "CSW001776",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "CSW001776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adadren Lavette Skrine, C.N.A
• Shainee Smith Trotter
• Bianca H Smith, CHAPLAIN
• Christopher Smith, DDS
• Kathy Meredith Smith, DMD
• Erin Sosebee, PHARM.D.
• Anne-Marie Spearman, P.A.C.
• Keisha Monique Springer, O.T.
• St. Benedict Personal Care Home, Inc.
• Shakoya Starkey

• Early Intervention Provider Agency in Mableton, GA
• Providers in Mableton, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2012; 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.