NPIMap

Organization Active NPI

Ansley Psychotherapy, LLC

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1821348004
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004739 Issued in GA
Legal business name
ANSLEY PSYCHOTHERAPY, LLC
Practice address
1904 Monroe Dr NE
Suite 120
Atlanta, GA 30324-4858
Phone
(404) 323-6080
NPI assigned
Sep 14, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
F. Catharine Wirth, LCSW, MANPI 1043452634
Title
Owner
Phone
(404) 323-6080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW004739 GA Primary

Addresses

Primary practice location

1904 Monroe Dr NE
Suite 120
Atlanta, GA 30324-4858

Mailing address

1904 Monroe Dr NE
Suite 120
Atlanta, GA 30324-4858
Phone (404) 323-6080

National Provider Directory

National Provider Directory

Locations

1904 Monroe Dr NE
Ste 120
Atlanta, GA 30324
Phone (404) 323-6080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1821348004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 MONROE DR NE",
            "address_2": "SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244858",
            "telephone_number": "404-323-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 MONROE DR NE",
            "address_2": "SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244858",
            "telephone_number": "404-323-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANSLEY PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "WIRTH",
        "authorized_official_first_name": "F. CATHARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-323-6080",
        "authorized_official_credential": "LCSW, MA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004739",
            "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 Sep 14, 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.

Verify at the official NPI Registry.