Organization Active NPI

Jackie Haar LCSW, LLC

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1780440768
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JACKIE HAAR LCSW, LLC
Practice address
2707 Hilo CT
Decatur, GA 30033-2317
Phone
(404) 580-3658
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jacqueline Beth Haar, LCSWNPI 1710557723
Title
Licensed Clinical Social Worker
Phone
(404) 580-3658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2707 Hilo CT
Decatur, GA 30033-2317

Mailing address

2707 Hilo CT
Decatur, GA 30033-2317
Phone (404) 580-3658

Other practice location 1

116 E Howard Ave
Decatur, GA 30030-3345
Phone (404) 580-3658

National Provider Directory

National Provider Directory

Locations

116 E Howard Ave
Decatur, GA 30030
Phone (404) 491-7751

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1780440768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 HILO CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332317",
            "telephone_number": "404-580-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 HILO CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332317",
            "telephone_number": "404-580-3658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 E Howard Ave",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300303345",
            "country_code": "US",
            "telephone_number": "404-580-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACKIE HAAR LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "HAAR",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "404-580-3658",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.