Active NPI
Carlyne Mary Moody, LMSW
- Social Worker
- Alpharetta, GA
National Provider Identifier
1831682376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW008104
- Practice address
- 4625 Alexander Dr Ste 200
Alpharetta, GA 30022-3721 - Phone
- (770) 458-8711
- Fax
- (770) 674-2701
- NPI assigned
- Jun 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW008104 | GA | Primary |
Addresses
Primary practice location
4625 Alexander Dr Ste 200
Alpharetta, GA 30022-3721
Mailing address
745 Lakestone CT
Roswell, GA 30076-2911
Phone (678) 596-0330
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 |
|---|---|---|---|
| MSW008104 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528588800000",
"number": "1831682376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 LAKESTONE CT",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762911",
"telephone_number": "678-596-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 ALEXANDER DR STE 200",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300223721",
"telephone_number": "770-458-8711",
"fax_number": "770-674-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "CARLYNE",
"middle_name": "MARY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-10",
"last_updated": "2018-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW008104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.