Active NPI
Rachel Robertson, LCSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1760713630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004093
- Practice address
- 1050 Crown Pointe Pkwy
Ste 450
Atlanta, GA 30338-7707 - Phone
- (866) 325-5434
- Fax
- (866) 325-5340
- NPI assigned
- Jan 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004093 | GA | Primary |
Addresses
Primary practice location
1050 Crown Pointe Pkwy
Ste 450
Atlanta, GA 30338-7707
Mailing address
521 Pointe North Dr
Savannah, GA 31410-1722
Phone (912) 508-2999
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW004093 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psych Solutions Corp | Clinical | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263600000000",
"number": "1760713630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 POINTE NORTH DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314101722",
"telephone_number": "912-508-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 CROWN POINTE PKWY",
"address_2": "STE 450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387707",
"telephone_number": "866-325-5434",
"fax_number": "866-325-5340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "RACHEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-16",
"last_updated": "2010-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.