Individual provider Active NPI

Anthony Brown, LMSW

  • Social Worker
  • Mableton, GA
National Provider Identifier
1821704214
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW010663 Issued in GA
Practice address
1025 Veterans Memorial Hwy. SE
Suite 660 #200
Mableton, GA 30126-3012
Phone
(678) 515-6681
Fax
(800) 963-8202
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW010663 GA Primary

Addresses

Primary practice location

1025 Veterans Memorial Hwy. SE
Suite 660 #200
Mableton, GA 30126-3012

Mailing address

1025 Veterans Memorial Hwy. SE
Suite 660 #200
Mableton, GA 30126-7711
Phone (678) 515-6681

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

LicenseStateTypeSpecialty
MSW010663GAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1821704214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 VETERANS MEMORIAL HWY. SE",
            "address_2": "SUITE 660 #200",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267711",
            "telephone_number": "678-515-6681",
            "fax_number": "800-963-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 VETERANS MEMORIAL HWY. SE",
            "address_2": "SUITE 660 #200",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263012",
            "telephone_number": "678-515-6681",
            "fax_number": "800-963-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANTHONY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW010663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.