Individual provider Active NPI

Anna Vollrath

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1891418034
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
183680 Issued in AK
Practice address
1122 Bridgewater Dr
Savannah, GA 31419-5522
Phone
(920) 946-0581
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 183680 AK Primary

Addresses

Primary practice location

1122 Bridgewater Dr
Savannah, GA 31419-5522

Mailing address

1122 Bridgewater Dr
Savannah, GA 31419-5522
Phone (920) 946-0581

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL anna.vollrath.lcsw@gmail.com Direct

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
183680AKMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1891418034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 BRIDGEWATER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314195522",
            "telephone_number": "920-946-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 BRIDGEWATER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314195522",
            "telephone_number": "920-946-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLRATH",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "183680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anna.vollrath.lcsw@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1122 Bridgewater Dr",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314195522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.