Individual provider Active NPI

Janice Marie Wiley, LCSW

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1871597757
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000583 Issued in GA
Practice address
Janice M Wiley LCSW
160 Clairemont Ave. Suite 200
Decatur, GA 30030-2456
Phone
(404) 371-0490
Fax
(404) 255-9780
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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 000583 GA Primary

Addresses

Primary practice location

Janice M Wiley LCSW
160 Clairemont Ave. Suite 200
Decatur, GA 30030-2456

Mailing address

Janice M Wiley LCSW
160 Clairemont Ave. Suite 200
Decatur, GA 30030-2456
Phone (404) 371-0490

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

LicenseStateTypeSpecialty
000583GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1871597757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JANICE M WILEY LCSW",
            "address_2": "160 CLAIREMONT AVE. SUITE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302456",
            "telephone_number": "404-371-0490",
            "fax_number": "404-255-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JANICE M WILEY LCSW",
            "address_2": "160 CLAIREMONT AVE. SUITE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302456",
            "telephone_number": "404-371-0490",
            "fax_number": "404-255-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "000583",
            "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 Apr 24, 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.