Individual provider Active NPI

Bridget Ann Sabbath, LMSW

  • Social Worker
  • Woodstock, GA
National Provider Identifier
1750637823
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW005741 Issued in GA
Practice address
9876 Main St Ste 100
Woodstock, GA 30188-3990
Phone
(770) 530-7422
NPI assigned
Jul 26, 2012
Last updated
Jul 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW005741 GA Primary

Addresses

Primary practice location

9876 Main St Ste 100
Woodstock, GA 30188-3990

Mailing address

2700 Bald Cypress Dr
Braselton, GA 30517-1310
Phone (770) 530-7422

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW005741GAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1750637823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BALD CYPRESS DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305171310",
            "telephone_number": "770-530-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9876 MAIN ST STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883990",
            "telephone_number": "770-530-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBATH",
        "first_name": "BRIDGET",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW005741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.