Active NPI
Cheran Bodry, LCSW
- Clinical Social Worker
- Athens, GA
National Provider Identifier
1881990679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW004324
- Practice address
- 1435 Oglethorpe Ave
Athens, GA 30606-2135 - Phone
- (706) 549-7755
- Fax
- (706) 549-0428
- NPI assigned
- Jan 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSCW004324 | GA | |
| Clinical Social Worker | 1041C0700X | LCSW004324 | GA | Primary |
Addresses
Primary practice location
1435 Oglethorpe Ave
Athens, GA 30606-2135
Mailing address
485 Huntington Rd Ste 197
Athens, GA 30606-1845
Phone (706) 202-8417
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW004324 | GA | MD | Clinical Social Worker |
| LSCW004324 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1881990679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 HUNTINGTON RD STE 197",
"city": "ATHENS",
"state": "GA",
"postal_code": "306061845",
"telephone_number": "706-202-8417",
"fax_number": "706-549-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 OGLETHORPE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062135",
"telephone_number": "706-549-7755",
"fax_number": "706-549-0428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODRY",
"first_name": "CHERAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "LSCW004324",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "LCSW004324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
- Board of Regents of the University System of Georgia
- Board of Regents of the University System of Georgia
- Board of Regents of the University System of Georgia
- Beth M Boatman, LPC
- Charles Douglas Bodine Jr., M.D.
- Robyn Simone Boggs, EFDA
- Ashley Marie Bohn, DO
- Bok Bok Therapy, LLC
- Meredith Jennifer Bolton, M.D.
- Frances D Bond, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.