Individual provider Active NPI

Saveen Sundrani, LCSW

  • Clinical Social Worker
  • Roswell, GA
National Provider Identifier
1750968830
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007819 Issued in GA
Practice address
1380 Woodstock Rd # 2965
Roswell, GA 30075-2141
Phone
(770) 640-3131
NPI assigned
Mar 25, 2021
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CSW007819 GA
Clinical Social Worker 1041C0700X 64503 TX
Clinical Social Worker 1041C0700X CSW007819 GA Primary

Addresses

Primary practice location

1380 Woodstock Rd # 2965
Roswell, GA 30075-2141

Mailing address

1380 Woodstock Rd
Roswell, GA 30075-2141
Phone (678) 707-0288

Other practice location 1

5887 Glenridge Dr Ste 230
Sandy Springs, GA 30328-9929
Phone (678) 324-4431

Other practice location 2

6115 Abbotts Bridge Rd Apt 202
Duluth, GA 30097-5752
Phone (678) 707-0288

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

LicenseStateTypeSpecialty
CSW007819GAMDProfessional Counselor
64503TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Mental Health LLC Clinical Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1750968830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 WOODSTOCK RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752141",
            "telephone_number": "678-707-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 WOODSTOCK RD # 2965",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752141",
            "telephone_number": "770-640-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5887 Glenridge Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303289929",
            "country_code": "US",
            "telephone_number": "678-324-4431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6115 Abbotts Bridge Rd Apt 202",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300975752",
            "country_code": "US",
            "telephone_number": "678-707-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDRANI",
        "first_name": "SAVEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "CSW007819",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64503",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.