Infant and Early Childhood Mental Health of Georgia

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INFANT AND EARLY CHILDHOOD MENTAL HEALTH OF GEORGIA

Practice address

260 Pleasant Hill Church Rd SE
Winder, GA 30680-4255

Phone

(706) 438-2951

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Trasie A Topple, PHD, LCSW

Title

Owner

Phone

(706) 438-2951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1972121606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48366",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048366",
            "telephone_number": "706-438-2951",
            "fax_number": "706-608-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PLEASANT HILL CHURCH RD SE",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306804255",
            "telephone_number": "706-438-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Moss Side Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306072107",
            "country_code": "US",
            "telephone_number": "505-795-4829",
            "fax_number": "706-608-9044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFANT AND EARLY CHILDHOOD MENTAL HEALTH OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "TOPPLE",
        "authorized_official_first_name": "TRASIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-438-2951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.