Active NPI
Neitcha Ruth Thomsen, LCSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1770132094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006844
- Practice address
- 1200 Ashwood Pkwy Ste 140
Atlanta, GA 30338-8024 - Phone
- (770) 815-6853
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | CSW006844 | GA | Primary |
Addresses
Primary practice location
1200 Ashwood Pkwy Ste 140
Atlanta, GA 30338-8024
Mailing address
4769 Valley View CT
Atlanta, GA 30338-4816
Phone (678) 760-5502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2024 through Jan 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006844 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1770132094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4769 VALLEY VIEW CT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303384816",
"telephone_number": "678-760-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ASHWOOD PKWY STE 140",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303388024",
"telephone_number": "770-815-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSEN",
"first_name": "NEITCHA",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006844",
"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 Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.