Active NPI
Adrienne Johnson, LCSW
- Clinical Social Worker
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005013
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepping Through LLC | Clinical | Current | Accepting new patients |
| Heritage Care Place LLC | Current | Accepting new patients | |
| Stepping Through, LLC | Clinical | Current | Accepting new patients |
| Willow Oak Community Behavioral Health Center | Current | Accepting new patients | |
| Willow Oak Foundation, Inc. | Past | Accepting new patients | |
| Willow Oak Community Behavioral Health Center, Inc. | Past | 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.
-
- Professional Counselor
- Stockbridge, GA
- NPI 1124874425
-
dba Willow Oak Center
- Community/Behavioral Health Agency
- Newnan, GA
- NPI 1881131860
-
- Clinical Social Worker
- Jonesboro, GA
- NPI 1366376436
-
- Clinical Social Worker
- Conyers, GA
- NPI 1821620907
-
- Case Management Agency
- Atlanta, GA
- NPI 1669702510
-
- Community/Behavioral Health Agency
- Riverdale, GA
- NPI 1740936335
-
- Community/Behavioral Health Agency
- Newnan, GA
- NPI 1588273528
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.