Individual provider Active NPI

Adrienne Johnson, LCSW

  • Clinical Social Worker
  • Conyers, GA
National Provider Identifier
1811271737
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005013 Issued in GA
Practice address
2047 Gees Mill Rd NE Ste 228
Conyers, GA 30013-1361
Phone
(678) 561-3303
NPI assigned
Oct 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005013 GA Primary

Addresses

Primary practice location

2047 Gees Mill Rd NE Ste 228
Conyers, GA 30013-1361

Mailing address

9553 Tyler Ter
Jonesboro, GA 30238-5891
Phone (678) 663-9725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019002727 GA Practitioner - Clinical Social Worker 2860744406 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Through LLC Clinical CurrentSince Feb 9, 2020 Accepting new patients
Heritage Care Place LLC CurrentSince Jun 1, 2025 Accepting new patients
Stepping Through, LLC Clinical CurrentSince Feb 9, 2020 Accepting new patients
Willow Oak Community Behavioral Health Center CurrentSince Jun 15, 2022 Accepting new patients
Willow Oak Foundation, Inc. PastSince Aug 1, 2020 Accepting new patients
Willow Oak Community Behavioral Health Center, Inc. PastSince Feb 27, 2022 Accepting new patients
Helping Hands Community Based Services, Inc. Past Accepting new patients

Locations

2047 Gees Mill Rd NE
Ste 228
Conyers, GA 30013
Phone (678) 561-3303

37 Calumet Pkwy
Ste J102
Newnan, GA 30263

6944 Highway 85
Ste F
Riverdale, GA 30274
Phone (770) 683-6946

135 Eagles Walk
Ste 100
Stockbridge, GA 30281
Phone (470) 726-4147

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1811271737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9553 TYLER TER",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385891",
            "telephone_number": "678-663-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 GEES MILL RD NE STE 228",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131361",
            "telephone_number": "678-561-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ADRIENNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.