Sandra Petrakis Childs LCSW LMFT LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CSW000536 Issued in GA

Legal business name

SANDRA PETRAKIS CHILDS LCSW LMFT LLC

Practice address

2900 Chamblee Tucker Rd
Suite 210
Atlanta, GA 30341-4100

Phone

(770) 458-8909

Fax

(678) 720-0993

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Petrakis Childs, LCSW LMFTNPI 1518013473

Title

Owner

Phone

(770) 458-8909

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Petrakis-Childs, L.C.S.W., L.M.F.T.

  • Clinical Social Worker
  • Chamblee, GA
  • NPI 1518013473
  NPD (past) Authorized official

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1851770580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 PARK CREEK CV NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192146",
            "telephone_number": "770-458-8909",
            "fax_number": "678-720-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD",
            "address_2": "SUITE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414100",
            "telephone_number": "770-458-8909",
            "fax_number": "678-720-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA PETRAKIS CHILDS LCSW LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "PETRAKIS CHILDS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-458-8909",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW  LMFT"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "GA",
            "license": "CSW000536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J. Sandler, PAAA
• Corban Sandoe, P.A.
• Abigail Elaine Sandoval Lermont, PA-C
• Mario Christopher Sandoval, MD
• Kaitlyn Sandoz
• Sandra Sims Patterson,PH.D.,P.C.
• Sandra Thomas Health Care Inc.
• Catherine Sandridge
• Emily Carol Sands, LMFT
• Jeff Michael Sands, M.D.

• Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.