NPIMap

Individual provider Active NPI

Rosemary Ann Wachtel, M.S.W.

  • Clinical Social Worker
  • Smyrna, GA
National Provider Identifier
1982808127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001261 Issued in GA
Practice address
2300 Lake Park Dr SE
Suite 100
Smyrna, GA 30080-4076
Phone
(404) 541-3005
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CSW001261 GA Primary

Addresses

Primary practice location

2300 Lake Park Dr SE
Suite 100
Smyrna, GA 30080-4076

Mailing address

2300 Lake Park Dr SE
Suite 100
Smyrna, GA 30080-4076
Phone (404) 541-3005

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

State licenses

LicenseStateTypeSpecialty
CSW001261GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families First Clinical Past Accepting new patients
Families First Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982808127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LAKE PARK DR SE",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804076",
            "telephone_number": "404-541-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LAKE PARK DR SE",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804076",
            "telephone_number": "404-541-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTEL",
        "first_name": "ROSEMARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.