Individual provider Active NPI

Ellen C Joiner-Woodard, LCSW

  • Clinical Social Worker
  • Hahira, GA
National Provider Identifier
1891425047
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003158 Issued in GA
Practice address
8655 Morven Rd
Hahira, GA 31632-2277
Phone
(229) 563-6754
NPI assigned
Jun 12, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 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 CSW003158 GA Primary

Addresses

Primary practice location

8655 Morven Rd
Hahira, GA 31632-2277

Mailing address

8655 Morven Rd
Hahira, GA 31632-2277
Phone (229) 563-6754

Other names 1

  • Ellen C Woodard Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221128001556 GA Practitioner - Clinical Social Worker 8123496031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2310 N Patterson St
BLDG H
Valdosta, GA 31602-2500
Phone (229) 333-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW003158GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen Joiner-Woodard, LCSW, PC Clinical CurrentSince Oct 14, 2022 Accepting new patients

Locations

2310 N Patterson St
Bldg H
Valdosta, GA 31602
Phone (229) 333-0300

2914 N Oak St
Valdosta, GA 31602
Phone (229) 333-0300

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": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1891425047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8655 MORVEN RD",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316322277",
            "telephone_number": "229-563-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8655 MORVEN RD",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316322277",
            "telephone_number": "229-563-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINER-WOODARD",
        "first_name": "ELLEN",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "WOODARD",
            "middle_name": "C",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hahira, GA

Sources for this page

Verify at the official NPI Registry.