Organization Active NPI

Judy M Plecko and Associates, L.L. C

  • Clinical Social Worker
  • Snellville, GA
National Provider Identifier
1962679209
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000641 Issued in GA
Legal business name
JUDY M PLECKO AND ASSOCIATES, L.L. C
Practice address
1700 Tree LN
Suite # 260
Snellville, GA 30078-6782
Phone
(770) 736-7534
Fax
(770) 736-8627
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Ms. Judy M Plecko, L.C.S.W
Title
Director
Phone
(404) 312-4926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 000641 GA Primary

Addresses

Primary practice location

1700 Tree LN
Suite # 260
Snellville, GA 30078-6782

Mailing address

1700 Tree LN
Suite # 260
Snellville, GA 30078-6782
Phone (770) 736-7534

National Provider Directory

National Provider Directory

Locations

1700 Tree Ln
Ste 260
Snellville, GA 30078
Phone (770) 736-7534

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1962679209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TREE LN",
            "address_2": "SUITE # 260",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786782",
            "telephone_number": "770-736-7534",
            "fax_number": "770-736-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TREE LN",
            "address_2": "SUITE # 260",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786782",
            "telephone_number": "770-736-7534",
            "fax_number": "770-736-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY M PLECKO AND ASSOCIATES, L.L. C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "PLECKO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-312-4926",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "000641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.