Active NPI
Alyssa Bailey McGrath, LCSW
- Clinical Social Worker
- Albany, GA
National Provider Identifier
1770764094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW003897
- Practice address
- 506 N Jackson St
The Renaissance Centre
Albany, GA 31701 - Phone
- (229) 889-7200
- Fax
- (229) 889-7393
- NPI assigned
- Nov 15, 2007
- Last updated
- Jul 12, 2011
- 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 | CSW003897 | GA | Primary |
Addresses
Primary practice location
506 N Jackson St
The Renaissance Centre
Albany, GA 31701
Mailing address
506 N Jackson St
The Renaissance Centre
Albany, GA 31701
Phone (229) 889-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812668869B | Medicaid | GA |
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 |
|---|---|---|---|
| CSW003897 | GA | MD | Clinical Social Worker |
| 003897 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1770764094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 N JACKSON ST",
"address_2": "THE RENAISSANCE CENTRE",
"city": "ALBANY",
"state": "GA",
"postal_code": "31701",
"telephone_number": "229-889-7200",
"fax_number": "229-889-7393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 N JACKSON ST",
"address_2": "THE RENAISSANCE CENTRE",
"city": "ALBANY",
"state": "GA",
"postal_code": "31701",
"telephone_number": "229-889-7200",
"fax_number": "229-889-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRATH",
"first_name": "ALYSSA",
"middle_name": "BAILEY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW003897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "812668869B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.