Active NPI
Melanie Villalta LCSW, LLC
- Clinical Social Worker
- Athens, GA
National Provider Identifier
1740794296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MELANIE VILLALTA LCSW, LLC
- Practice address
- 485 Huntington Rd
Athens, GA 30606-1861 - Phone
- (706) 363-3352
- NPI assigned
- Nov 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Villalta, LCSW
- Title
- Owner
- Phone
- (706) 363-3352
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
485 Huntington Rd
Athens, GA 30606-1861
Mailing address
220 Claystone Woods Dr
Athens, GA 30606-1543
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511136000000",
"number": "1740794296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CLAYSTONE WOODS DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306061543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 HUNTINGTON RD",
"city": "ATHENS",
"state": "GA",
"postal_code": "306061861",
"telephone_number": "706-363-3352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELANIE VILLALTA LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-20",
"last_updated": "2017-11-20",
"status": "A",
"authorized_official_last_name": "VILLALTA",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-363-3352",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.