Active NPI
Wax D Flowers, LCSW
- Clinical Social Worker
- Decatur, GA
National Provider Identifier
1851421341
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW002378
- Practice address
- 2189 W Ponce de Leon Ave
Decatur, GA 30030-2334 - Phone
- (678) 887-3263
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW002378 | GA | Primary |
Addresses
Primary practice location
2189 W Ponce de Leon Ave
Decatur, GA 30030-2334
Mailing address
2189 W Ponce de Leon Ave
Decatur, GA 30030-2334
Phone (678) 887-3263
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2378 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851421341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2189 W PONCE DE LEON AVE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302334",
"telephone_number": "678-887-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2189 W PONCE DE LEON AVE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302334",
"telephone_number": "678-887-3263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS",
"first_name": "WAX",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW002378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.