Active NPI
Dana Carlyle-Wehner, LCSW
- Clinical Social Worker
- Gainesville, GA
National Provider Identifier
1740659754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1856 Thompson Bridge Rd Ste 14
Gainesville, GA 30501 - Phone
- (770) 219-9460
- Fax
- (770) 219-9461
- NPI assigned
- Sep 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1856 Thompson Bridge Rd Ste 14
Gainesville, GA 30501
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
506 S Broad St
Monroe, GA 30655-2172
Phone (800) 560-1267
Other practice location 2
506 S Broad St
Monroe, GA 30655-2172
Phone (800) 560-1267
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcarlylewehner103106@nghs.gadirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609372800000",
"number": "1740659754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1856 THOMPSON BRIDGE RD STE 14",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "30501",
"telephone_number": "770-219-9460",
"fax_number": "770-219-9461"
}
],
"practiceLocations": [
{
"address_1": "506 S Broad St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "GA",
"postal_code": "306552172",
"country_code": "US",
"telephone_number": "800-560-1267",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "506 S Broad St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "GA",
"postal_code": "306552172",
"country_code": "US",
"telephone_number": "800-560-1267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLYLE-WEHNER",
"first_name": "DANA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-20",
"last_updated": "2020-12-31",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dcarlylewehner103106@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1856 Thompson Bridge Rd Ste 14",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "30501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.