Individual provider Active NPI

Sharman Dyan Colosetti, LCSW, PHD

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1902878853
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2559 Issued in GA
Practice address
315 W Ponce de Leon Ave
Suite 840
Decatur, GA 30030-2400
Phone
(404) 518-0828
Fax
(404) 378-0764
NPI assigned
Feb 5, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 2559 GA Primary

Addresses

Primary practice location

315 W Ponce de Leon Ave
Suite 840
Decatur, GA 30030-2400

Mailing address

1160 Walker Dr
Decatur, GA 30030-4752
Phone (404) 518-0828

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
I20040204000555 GA Practitioner - Clinical Social Worker 3173416104 Practice locations: Decatur, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Decatur, GA 30030
Phone (404) 518-0828

1160 Walker Dr
Decatur, GA 30030-4752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2559GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1139097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902878853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 WALKER DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304752",
            "telephone_number": "404-518-0828",
            "fax_number": "404-378-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE",
            "address_2": "SUITE 840",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302400",
            "telephone_number": "404-518-0828",
            "fax_number": "404-378-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOSETTI",
        "first_name": "SHARMAN",
        "middle_name": "DYAN",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "2559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.