Organization Active NPI

Kerri Golding, PA

  • Clinical Social Worker
  • Lithia Springs, GA
National Provider Identifier
1770818320
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003105 Issued in GA
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

Updated by the provider on Oct 14, 2009

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
103744492AMedicaidGA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.