Individual provider Active NPI

Michael J McHugh I, LCSW

  • Clinical Social Worker
  • Alpharetta, GA
National Provider Identifier
1992189302
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1400 Issued in GA
Practice address
390 Prospect PL
Alpharetta, GA 30005-5467
Phone
(678) 851-0528
NPI assigned
Jul 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 1400 GA Primary

Addresses

Primary practice location

390 Prospect PL
Alpharetta, GA 30005-5467

Mailing address

5680 Peachtree Pkwy Ste B
Peachtree Corners, GA 30092-2857
Phone (678) 851-0528

Other practice location 1

5680 Peachtree Pkwy Ste B
Peachtree Corners, GA 30092-2857
Phone (678) 851-0528

Other identifiers 1

IdentifierTypeStateIssuer
474600636OtherGATAX ID

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
1400GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J McHugh LCSW CurrentSince Jan 1, 2016 Accepting new patients

Locations

390 Prospect Pl
Alpharetta, GA 30005
Phone (678) 557-0934

Organizations & group practices 1

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1992189302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 PEACHTREE PKWY STE B",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922857",
            "telephone_number": "678-851-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055467",
            "telephone_number": "678-851-0528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5680 Peachtree Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300922857",
            "country_code": "US",
            "telephone_number": "678-851-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCHUGH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "1400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "474600636",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.