Individual provider Active NPI

Joseph Paglia

  • Clinical Social Worker
  • Sylvania, GA
National Provider Identifier
1891178562
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004612 Issued in GA
Practice address
2830 Burtons Ferry Hwy
Sylvania, GA 30467-4513
Phone
(800) 317-0364
Fax
(888) 572-7924
NPI assigned
Jun 30, 2015
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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 CSW004612 GA Primary

Addresses

Primary practice location

2830 Burtons Ferry Hwy
Sylvania, GA 30467-4513

Mailing address

1115 N Columbia Ave
Unit 4
Rincon, GA 31326-6825
Phone (800) 317-0364

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW004612GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Children Support, Inc Clinical Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1891178562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N COLUMBIA AVE",
            "address_2": "UNIT 4",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313266825",
            "telephone_number": "800-317-0364",
            "fax_number": "888-572-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 BURTONS FERRY HWY",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304674513",
            "telephone_number": "800-317-0364",
            "fax_number": "888-572-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGLIA",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.