Individual provider Active NPI

Susan Ewers, L.C.S.W.

  • Clinical Social Worker
  • Doraville, GA
National Provider Identifier
1932304466
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW002974 Issued in GA
Practice address
4016 Flowers Rd Ste 440a
Doraville, GA 30360-3196
Phone
(404) 282-4225
NPI assigned
Jun 15, 2007
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW002974 GA Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

4016 Flowers Rd Ste 440a
Doraville, GA 30360-3196

Mailing address

4016 Flowers Rd Ste 440a
Doraville, GA 30360-3196
Phone (404) 282-4225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW002974GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CGS Counseling Clinical Current Accepting new patients

Locations

4016 Flowers Rd
Ste 440A
Doraville, GA 30360
Phone (404) 282-4225

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1932304466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 FLOWERS RD STE 440A",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603196",
            "telephone_number": "404-282-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 FLOWERS RD STE 440A",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603196",
            "telephone_number": "404-282-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWERS",
        "first_name": "SUSAN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002974",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.