Active NPI
Janice R Shuford, LCSW
- Clinical Social Worker
- Dunwoody, GA
National Provider Identifier
1821197823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2597
- Practice address
- 211 Perimeter Center Pkwy NE Ste 910
Dunwoody, GA 30346-1304 - Phone
- (770) 908-3993
- Fax
- (770) 730-8721
- NPI assigned
- Sep 22, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2597 | GA | |
| Clinical Social Worker | 1041C0700X | 2597 | GA | Primary |
| Marriage & Family Therapist | 106H00000X | CSW002597 | GA |
Addresses
Primary practice location
211 Perimeter Center Pkwy NE Ste 910
Dunwoody, GA 30346-1304
Mailing address
1684 Durrett Way
Atlanta, GA 30338-2912
Phone (770) 908-3993
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW002597 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1821197823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1684 DURRETT WAY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303382912",
"telephone_number": "770-908-3993",
"fax_number": "770-730-8721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 PERIMETER CENTER PKWY NE STE 910",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303461304",
"telephone_number": "770-908-3993",
"fax_number": "770-730-8721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUFORD",
"first_name": "JANICE",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "2597",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "2597",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "CSW002597",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.