Organization Active NPI

Cedar Creek Wellness

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1851810949
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005626 Issued in GA
Legal business name
CEDAR CREEK WELLNESS
Practice address
985 Gaines School Rd
Athens, GA 30605-3133
Phone
(706) 621-7043
Fax
(706) 621-7043
NPI assigned
Sep 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Valerie McGuinness, LCSWNPI 1093186991
Title
Owner
Phone
(706) 621-7043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW005626 GA Primary

Addresses

Primary practice location

985 Gaines School Rd
Athens, GA 30605-3133

Mailing address

1860 Barnett Shoals Rd
Suite 103 PMB 402
Athens, GA 30605
Phone (706) 621-7043

Other practice location 1

985 Gaines School Rd
Athens, GA 30605-3133
Phone (706) 621-7043

Other practice location 2

985 Gaines School Rd
Athens, GA 30605-3133
Phone (706) 621-7043

National Provider Directory

National Provider Directory

Locations

1860 Barnett Shoals Rd
Ste 103
Athens, GA 30605
Phone (520) 323-8532

985 Gaines School Rd
Athens, GA 30605
Phone (706) 621-7043

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1851810949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 BARNETT SHOALS RD",
            "address_2": "SUITE 103 PMB 402",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30605",
            "telephone_number": "706-621-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 GAINES SCHOOL RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053133",
            "telephone_number": "706-621-7043",
            "fax_number": "706-621-7043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "985 Gaines School Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306053133",
            "country_code": "US",
            "telephone_number": "706-621-7043",
            "fax_number": "706-621-7043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "985 Gaines School Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306053133",
            "country_code": "US",
            "telephone_number": "706-621-7043",
            "fax_number": "706-621-7043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEDAR CREEK WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MCGUINNESS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-621-7043",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.