Individual provider Active NPI

Judy Schulman Greenberg, M.ED, LCSW

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1831105071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001686 Issued in GA
Practice address
2790 Sandy Plains Rd
Suite 203
Marietta, GA 30066-4373
Phone
(770) 579-0880
Fax
(770) 579-0897
NPI assigned
Jul 31, 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 CSW001686 GA Primary

Addresses

Primary practice location

2790 Sandy Plains Rd
Suite 203
Marietta, GA 30066-4373

Mailing address

2790 Sandy Plains Rd
Suite 203
Marietta, GA 30066-4373
Phone (770) 579-0880

Other names 1

  • Ms. Judith S Greenberg Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061113000163 GA Practitioner - Clinical Social Worker 4284632985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2753 Old Mill TRL
Marietta, GA 30062-5604
Phone (770) 579-0880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Judy S. Greenberg Counseling Services Inc Clinical CurrentSince Mar 24, 2020 Accepting new patients

Locations

2790 Sandy Plains Rd
Ste 203
Marietta, GA 30066
Phone (770) 579-0880

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831105071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 SANDY PLAINS RD",
            "address_2": "SUITE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664373",
            "telephone_number": "770-579-0880",
            "fax_number": "770-579-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 SANDY PLAINS RD",
            "address_2": "SUITE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664373",
            "telephone_number": "770-579-0880",
            "fax_number": "770-579-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JUDY",
        "middle_name": "SCHULMAN",
        "name_prefix": "Ms.",
        "credential": "M.ED, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "GREENBERG",
            "middle_name": "S",
            "prefix": "MS.",
            "credential": "M.ED., LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.