Active NPI
Lisa Jamison, LCSW
- Clinical Social Worker
- Austell, GA
National Provider Identifier
1740737089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005038
- Practice address
- 2777 Jefferson St
Suite One
Austell, GA 30168-4054 - Phone
- (678) 437-6302
- NPI assigned
- Sep 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 005038 | GA | Primary |
Addresses
Primary practice location
2777 Jefferson St
Suite One
Austell, GA 30168-4054
Mailing address
2297 Dodson Drive
East Point, GA 30344-4054
Phone (678) 437-6302
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005038 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474070400000",
"number": "1740737089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2297 DODSON DRIVE",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303444054",
"telephone_number": "678-437-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2777 JEFFERSON ST",
"address_2": "SUITE ONE",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301684054",
"telephone_number": "678-437-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "LISA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-03",
"last_updated": "2016-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "005038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.