Imagine New Beginnings LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

IMAGINE NEW BEGINNINGS LLC

Practice address

3749 N Peachtree Rd
Atlanta, GA 30341-2226

Phone

(662) 341-2694

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Imani Brooks, LCSW

Title

LCSW

Phone

(662) 341-2694

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1972120970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 COLONIAL WAY APT J",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415339",
            "telephone_number": "662-341-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 N PEACHTREE RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412226",
            "telephone_number": "662-341-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE NEW BEGINNINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "IMANI",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "662-341-2694",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.