Active NPI
Emily Louise Ulrich, LMSW
- Social Worker
- Athens, GA
National Provider Identifier
1891386298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW009504
- Practice address
- 250 Bray St
Athens, GA 30601-2203 - Phone
- (706) 389-6789
- NPI assigned
- Jan 28, 2021
- Last updated
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW009504 | GA | Primary |
Addresses
Primary practice location
250 Bray St
Athens, GA 30601-2203
Mailing address
723 W Vincent Dr
Athens, GA 30607-6548
Phone (435) 881-8302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
250 Bray St
Athens, GA 30601-2203
Phone 70638967891108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW009504 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Behavioral Health Systems | Current | Accepting new patients |
Locations
240 Mitchell Bridge Rd
Athens, GA 30606
Phone (706) 389-6767
250 Bray St
Athens, GA 30601
Phone (706) 542-9746
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, GA
- NPI 1942270558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1891386298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 W VINCENT DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306076548",
"telephone_number": "435-881-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BRAY ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306012203",
"telephone_number": "706-389-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "EMILY",
"middle_name": "LOUISE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW009504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
- Jon M Udwadia, MD
- Uga Applied Behavior Analysis Clinic
- Uga Speech and Hearing
- Nkechi Ukoha, MD
- Andres Arthur Ullrich, R.PH.
- Ronda Umble, LPN
- Toawondia T. Underwood, LPC
- Unihealth Solutions, Inc. (UniHealth Solutions of Athens)
- United Rehab Inc. (United Rehab of Athens)
- United Rehab Inc. (United Rehab of Athens Heritage)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.