Active NPI
Kerri Golding, PA
- Clinical Social Worker
- Lithia Springs, GA
National Provider Identifier
1770818320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW003105
- Legal business name
- KERRI GOLDING, PA
- Practice address
- 561 Thornton Rd
R
Lithia Springs, GA 30122-1558 - Phone
- (404) 849-6586
- NPI assigned
- Oct 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerri Lynne Golding
- Title
- LCSW
- Phone
- (404) 849-6586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW003105 | GA | Primary |
Addresses
Primary practice location
561 Thornton Rd
R
Lithia Springs, GA 30122-1558
Mailing address
561 Thornton Rd
R
Lithia Springs, GA 30122-1558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103744492A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255478400000",
"number": "1770818320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 THORNTON RD",
"address_2": "R",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301221558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 THORNTON RD",
"address_2": "R",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301221558",
"telephone_number": "404-849-6586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KERRI GOLDING, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-14",
"last_updated": "2009-10-14",
"status": "A",
"authorized_official_last_name": "GOLDING",
"authorized_official_first_name": "KERRI",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "404-849-6586"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW003105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103744492A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lithia Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.