Individual provider Active NPI

Heidi Cope Roy, LCSW

  • Clinical Social Worker
  • Chamblee, GA
National Provider Identifier
1992582464
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007938 Issued in GA
Practice address
5200 Peachtree Rd Apt 2102
Chamblee, GA 30341-2741
Phone
(678) 580-9764
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 CSW007938 GA Primary

Addresses

Primary practice location

5200 Peachtree Rd Apt 2102
Chamblee, GA 30341-2741

Mailing address

5200 Peachtree Rd Apt 2102
Chamblee, GA 30341-2741
Phone (678) 580-9764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030002509 GA Practitioner - Clinical Social Worker 7315393139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Jewish Family and Career Services, IncGroup PAC ID 9234127242, 11 clinicians

Practice addresses (Care Compare)

4549 Chamblee Dunwoody Rd
Atlanta, GA 30338-6210
Phone (770) 677-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW007938GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Career Services, Inc CurrentSince Oct 16, 2023 Accepting new patients

Locations

4549 Chamblee Dunwoody Rd
Dunwoody, GA 30338
Phone (770) 677-9300

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1992582464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 PEACHTREE RD APT 2102",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412741",
            "telephone_number": "678-580-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PEACHTREE RD APT 2102",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412741",
            "telephone_number": "678-580-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "HEIDI",
        "middle_name": "COPE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

Verify at the official NPI Registry.