Individual provider Active NPI

Amber McArthur, LMSW

  • Clinical Social Worker
  • Mount Vernon, GA
National Provider Identifier
1881068005
Registry record updated Nov 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MSW003985 Issued in GA
Practice address
305 W Spring St
Mount Vernon, GA 30445-2837
Phone
(912) 423-0498
Fax
(912) 583-0115
NPI assigned
Nov 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MSW003985 GA
Mental Health Counselor 101YM0800X MSW003985 GA
Professional Counselor 101YP2500X MSW003985 GA
Social Worker 104100000X MSW003985 GA
Clinical Social Worker 1041C0700X MSW003985 GA Primary

Addresses

Primary practice location

305 W Spring St
Mount Vernon, GA 30445-2837

Mailing address

305 W Spring St
Mount Vernon, GA 30445-2837
Phone (912) 423-0498

Other identifiers 1

IdentifierTypeStateIssuer
27-1012557MedicaidGA

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
MSW003985GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Road to Success Past Accepting new patients
Road to Success Counselor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448496000000",
    "number": "1881068005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W SPRING ST",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304452837",
            "telephone_number": "912-423-0498",
            "fax_number": "912-583-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W SPRING ST",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304452837",
            "telephone_number": "912-423-0498",
            "fax_number": "912-583-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCARTHUR",
        "first_name": "AMBER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-26",
        "last_updated": "2015-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "MSW003985",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MSW003985",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "MSW003985",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW003985",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW003985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27-1012557",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.