The Atlanta Marriage and Mediation Clinic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE ATLANTA MARRIAGE AND MEDIATION CLINIC

Practice address

3113 Roswell Rd Ste 204
Marietta, GA 30062-5500

Phone

(678) 744-8750

NPI assigned

Jul 8, 2022

Last updated

Jul 8, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Smith, LCSW

Title

Clinician

Phone

(678) 964-0510

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1912630799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 ROSWELL RD STE 204",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625500",
            "telephone_number": "678-744-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 ROSWELL RD STE 204",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625500",
            "telephone_number": "678-744-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ATLANTA MARRIAGE AND MEDIATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "678-964-0510",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.