Individual provider Active NPI

Marquette Dionna McQuerry, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1982746103
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004780 Issued in GA
Practice address
3781 Presidential Pkwy
Suite 111 D
Atlanta, GA 30340-3702
Phone
(586) 530-2590
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW004780 GA Primary

Addresses

Primary practice location

3781 Presidential Pkwy
Suite 111 D
Atlanta, GA 30340-3702

Mailing address

2084 Reflection Creek Dr
Conyers, GA 30013-7422
Phone (586) 530-2590

Other names 1

  • Marquette Dionna Johnson Former name

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411171200000",
    "number": "1982746103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 REFLECTION CREEK DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300137422",
            "telephone_number": "586-530-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 PRESIDENTIAL PKWY",
            "address_2": "SUITE 111 D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403702",
            "telephone_number": "586-530-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUERRY",
        "first_name": "MARQUETTE",
        "middle_name": "DIONNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARQUETTE",
            "last_name": "JOHNSON",
            "middle_name": "DIONNA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; 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.