Individual provider Active NPI

Heather Voelkel Youngblood, MSW, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1902085830
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2730 Issued in GA
Practice address
455 E Paces Ferry Rd NE
Suite 203
Atlanta, GA 30305-3313
Phone
(678) 777-8744
NPI assigned
Oct 27, 2007
Last updated
Oct 27, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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 2730 GA Primary

Addresses

Primary practice location

455 E Paces Ferry Rd NE
Suite 203
Atlanta, GA 30305-3313

Mailing address

3951 Chapel Grove Dr
Marietta, GA 30062-1067
Phone (678) 777-8744

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
I20080428000451 GA Practitioner - Clinical Social Worker 2264510551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Perelman School of Med at the University of Pennsylvania, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Perimeter Therapy Associates, LLCGroup PAC ID 9335332006, 4 clinicians

Practice addresses (Care Compare)

1455 Lincoln Pkwy E
Suite 300
Atlanta, GA 30346-2209
Phone (678) 666-4717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2730GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Therapy Associates LLC Clinical CurrentSince Jul 3, 2010 Accepting new patients

Locations

1455 Lincoln Pkwy E
Ste 240
Atlanta, GA 30346
Phone (678) 666-4717

1455 Lincoln Pkwy E
Ste 300
Atlanta, GA 30346
Phone (404) 449-6199

211 Perimeter Center Pkwy NE
Ste 910
Dunwoody, GA 30346
Phone (678) 777-8744

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": "1193443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1902085830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 CHAPEL GROVE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621067",
            "telephone_number": "678-777-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E PACES FERRY RD NE",
            "address_2": "SUITE 203",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053313",
            "telephone_number": "678-777-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "HEATHER",
        "middle_name": "VOELKEL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-27",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "2730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.