Individual provider Active NPI

Woodfin Jackson Threlkeld Jr., LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1831201151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW2002 Issued in GA
Practice address
2250 N Druid Hills Rd NE
Suite 232
Atlanta, GA 30329-3192
Phone
(404) 325-3992
Fax
(404) 325-5310
NPI assigned
Aug 31, 2006
Sex
Male
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 CSW2002 GA Primary

Addresses

Primary practice location

2250 N Druid Hills Rd NE
Suite 232
Atlanta, GA 30329-3192

Mailing address

2250 N Druid Hills Rd NE
Suite 232
Atlanta, GA 30329-3192
Phone (404) 325-3992

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
I20060206000443 GA Practitioner - Clinical Social Worker 3971517301 Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2250 N Druid Hills Rd
Suite 232
Atlanta, GA 30329-3118
Phone (404) 325-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW2002GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Woodfin J. Threlkeld, MSW, LCSW, Inc. Clinical PastSince Jan 1, 1990 Accepting new patients

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831201151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N DRUID HILLS RD NE",
            "address_2": "SUITE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293192",
            "telephone_number": "404-325-3992",
            "fax_number": "404-325-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N DRUID HILLS RD NE",
            "address_2": "SUITE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293192",
            "telephone_number": "404-325-3992",
            "fax_number": "404-325-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRELKELD",
        "first_name": "WOODFIN",
        "middle_name": "JACKSON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW2002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.