Active NPI
Giselle Remy-Bryan, LCSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1962019869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW007241
- Practice address
- 12 Executive Park Dr NE Ste 300
Atlanta, GA 30329-2206 - Phone
- (404) 778-0669
- Fax
- (404) 712-1913
- NPI assigned
- Sep 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW007241 | GA | Primary |
Addresses
Primary practice location
12 Executive Park Dr NE Ste 300
Atlanta, GA 30329-2206
Mailing address
12 Executive Park Dr NE Ste 300
Atlanta, GA 30329-2206
Phone (404) 778-0669
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1962019869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 EXECUTIVE PARK DR NE STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292206",
"telephone_number": "404-778-0669",
"fax_number": "404-712-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 EXECUTIVE PARK DR NE STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292206",
"telephone_number": "404-778-0669",
"fax_number": "404-712-1913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMY-BRYAN",
"first_name": "GISELLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW007241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.