Individual provider Active NPI

Alexandria Ennever, LCSW

  • Clinical Social Worker
  • Smyrna, GA
National Provider Identifier
1922962042
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009894 Issued in GA
Practice address
3830 S Cobb Dr SE
Smyrna, GA 30080-5532
Phone
(678) 935-2617
NPI assigned
Dec 12, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 CSW009894 GA Primary

Addresses

Primary practice location

3830 S Cobb Dr SE
Smyrna, GA 30080-5532

Mailing address

3471 Hollow Stream TRL
Powder Springs, GA 30127-5318

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
I20260213003342 GA Practitioner - Clinical Social Worker 5890275382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1503 N Tibbs Rd
Dalton, GA 30720-2915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW009894GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers CSB CurrentSince Dec 15, 2025 Accepting new patients
Highland Rivers Community Service Board CurrentSince Dec 15, 2025 Accepting new patients

Locations

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

3830 S Cobb Dr SE
Ste 200300
Smyrna, GA 30080
Phone (678) 821-1478

Organizations & group practices 2

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": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1922962042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 HOLLOW STREAM TRL",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300805532",
            "telephone_number": "678-935-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNEVER",
        "first_name": "ALEXANDRIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.