Individual provider Active NPI

Simone Sharlotte Murray, LCSW

  • Clinical Social Worker
  • Augusta, GA
National Provider Identifier
1750047650
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009217 Issued in GA
Practice address
1941 Phinizy Rd
Augusta, GA 30906-5173
Phone
(706) 846-3631
NPI assigned
Nov 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Federally Qualified Health Center (FQHC) 261QF0400X GA
Clinical Social Worker 1041C0700X CSW009217 GA Primary

Addresses

Primary practice location

1941 Phinizy Rd
Augusta, GA 30906-5173

Mailing address

2310 Prescott PL
Hephzibah, GA 30815-7603
Phone (203) 800-1522

Other practice location 1

1226 Dantignac St
Augusta, GA 30901-2788
Phone (706) 366-1466

Other names 1

  • Mrs. Simone Sharlotte Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW009217GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First Focus Faith, LLC CurrentSince Dec 1, 2022 Accepting new patients
Georgia Family Crisis Solutions PastSince Dec 1, 2022 Accepting new patients

Locations

4145 Columbia Rd
Martinez, GA 30907
Phone (706) 524-3690

Organizations & group practices 2

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": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1750047650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 PRESCOTT PL",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308157603",
            "telephone_number": "203-800-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 PHINIZY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065173",
            "telephone_number": "706-846-3631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1226 Dantignac St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012788",
            "country_code": "US",
            "telephone_number": "706-366-1466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "SIMONE",
        "middle_name": "SHARLOTTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMONE",
            "last_name": "DAVIS",
            "middle_name": "SHARLOTTE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.