Individual provider Active NPI

Mary Bethany Livsey, SOCIAL WORKER

  • Social Worker
  • Cartersville, GA
National Provider Identifier
1952086530
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW009236 Issued in GA
Practice address
25 Gilreath Rd NW Apt 49B
Cartersville, GA 30121-6067
Phone
(770) 910-5108
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW009236 GA Primary

Addresses

Primary practice location

25 Gilreath Rd NW Apt 49B
Cartersville, GA 30121-6067

Mailing address

25 Gilreath Rd NW Apt 49B
Cartersville, GA 30121-6067
Phone (770) 910-5108

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW009236GAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1952086530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GILREATH RD NW APT 49B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301216067",
            "telephone_number": "770-910-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GILREATH RD NW APT 49B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301216067",
            "telephone_number": "770-910-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVSEY",
        "first_name": "MARY",
        "middle_name": "BETHANY",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW009236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.