Active NPI
Linda K. Clofine, LCSW
- Clinical Social Worker
- Decatur, GA
National Provider Identifier
1902816374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW002742
- Practice address
- 544 Medlock Rd
Ste. 106
Decatur, GA 30030-1515 - Phone
- (404) 377-5727
- Fax
- (404) 377-5727
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW002742 | GA | Primary |
Addresses
Primary practice location
544 Medlock Rd
Ste. 106
Decatur, GA 30030-1515
Mailing address
2880 Hadrian Dr
Snellville, GA 30078-2292
Phone (770) 841-2966
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
- University of Iowa, RJ & L Carver College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
598 S Milledge Ave
Suite 5
Athens, GA 30605-1262
Phone (706) 353-0709
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW002742 | GA | MD | Clinical Social Worker |
| 002742 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Clofine, LCSW Inc. | Current | Accepting new patients |
Locations
598 S Milledge Ave
Ste 5
Athens, GA 30605
Phone (706) 353-0709
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Athens, GA
- NPI 1619222973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902816374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 HADRIAN DR",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782292",
"telephone_number": "770-841-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 MEDLOCK RD",
"address_2": "STE. 106",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301515",
"telephone_number": "404-377-5727",
"fax_number": "404-377-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOFINE",
"first_name": "LINDA",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW002742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.