Active NPI
Murrell Social Services Network
- Community/Behavioral Health Agency
- Jonesboro, GA
National Provider Identifier
1982945622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CSW003257
- Legal business name
- MURRELL SOCIAL SERVICES NETWORK
- Practice address
- 696 Mount Zion Rd
Suite 9-C
Jonesboro, GA 30236-1597 - Phone
- (678) 906-3011
- Fax
- (678) 802-1970
- NPI assigned
- Mar 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loutina Murrell, LMSW
- Title
- Ceo
- Phone
- (678) 906-3011
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MSW002271 | GA | |
| Community/Behavioral Health Agency | 251S00000X | CSW003257 | GA | Primary |
| Community/Behavioral Health Agency | 251S00000X | CSW003448 | GA | |
| Community/Behavioral Health Agency | 251S00000X | LPC003980 | GA | |
| Foster Care Agency | 253J00000X | MSW002271 | GA |
Addresses
Primary practice location
696 Mount Zion Rd
Suite 9-C
Jonesboro, GA 30236-1597
Mailing address
6859 Slate Stone Way SE
Mableton, GA 30126-5469
Phone (678) 906-3011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362441600000",
"number": "1982945622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6859 SLATE STONE WAY SE",
"city": "MABLETON",
"state": "GA",
"postal_code": "301265469",
"telephone_number": "678-906-3011",
"fax_number": "678-802-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 MOUNT ZION RD",
"address_2": "SUITE 9-C",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361597",
"telephone_number": "678-906-3011",
"fax_number": "678-802-1970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MURRELL SOCIAL SERVICES NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-05",
"last_updated": "2013-03-05",
"status": "A",
"authorized_official_last_name": "MURRELL",
"authorized_official_first_name": "LOUTINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-906-3011",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "MSW002271",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "CSW003257",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "CSW003448",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "LPC003980",
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "GA",
"license": "MSW002271",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.