Dekalb Rape Crisis Center Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CSW000649 Issued in GA

Legal business name

DEKALB RAPE CRISIS CENTER INC

Practice address

204 Church Street
Decatur, GA 30030-3328

Phone

(404) 377-1429

Fax

(404) 377-5644

NPI assigned

Jun 21, 2010

Last updated

Jun 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Phyllis Wardrett Miller, MSW, LCSWNPI 1053692848

Title

Executive Director

Phone

(404) 377-1429

Specialties & licenses 1

Addresses

Other names 1

• Dakalb Rape Crisis Center Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phyllis Wardrett Miller, MSW,LCSW

  • Social Worker
  • Decatur, GA
  • NPI 1053692848
  NPD (past) Authorized official

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1750602173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CHURCH STREET",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303328",
            "telephone_number": "404-377-1429",
            "fax_number": "407-377-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CHURCH STREET",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303328",
            "telephone_number": "404-377-1429",
            "fax_number": "404-377-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB RAPE CRISIS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "WARDRETT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-377-1429",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "GA",
            "license": "CSW000649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakalb Rape Crisis Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jozsalina Del Val
• Rosetta Yvette Delancy, LCSW

• Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.