Individual provider Active NPI

Jeanne E Bedell, MSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1821035700
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000268 Issued in GA
Practice address
1631 Phoenix Blvd
Suite 9
Atlanta, GA 30349-5545
Phone
(770) 997-8516
Fax
(770) 991-9014
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 000268 GA Primary

Addresses

Primary practice location

1631 Phoenix Blvd
Suite 9
Atlanta, GA 30349-5545

Mailing address

1631 Phoenix Blvd
Suite 9
Atlanta, GA 30349-5545
Phone (770) 997-8516

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821035700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 PHOENIX BLVD",
            "address_2": "SUITE 9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495545",
            "telephone_number": "770-997-8516",
            "fax_number": "770-991-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 PHOENIX BLVD",
            "address_2": "SUITE 9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495545",
            "telephone_number": "770-997-8516",
            "fax_number": "770-991-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDELL",
        "first_name": "JEANNE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "000268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.