Active NPI
Andrea Marie Paul, LCSW
- Clinical Social Worker
- Gainesville, GA
National Provider Identifier
1811650575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006858
- Practice address
- 2150 Limestone Pkwy Ste 222
Gainesville, GA 30501-2567 - Phone
- (770) 219-8888
- NPI assigned
- Oct 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 | CSW006858 | GA | Primary |
Addresses
Primary practice location
2150 Limestone Pkwy Ste 222
Gainesville, GA 30501-2567
Mailing address
2150 Limestone Pkwy Ste 222
Gainesville, GA 30501-2567
Phone (770) 219-8888
Other names 1
- Andrea Marie Atkinson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apaul94239@nghs.gadirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006858 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1811650575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 LIMESTONE PKWY STE 222",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012567",
"telephone_number": "770-219-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 LIMESTONE PKWY STE 222",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012567",
"telephone_number": "770-219-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "ANDREA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-20",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006858",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apaul94239@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2150 Limestone Pkwy Ste 222",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305012567",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "ATKINSON",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.