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JESSICA SHERIDAN LMSW
NPI 1164822623
Social Worker - Clinical in Cumming, GA

Active since September 02, 2014PECOS EnrolledAccepts Medicare Assignment
104 PILGRIM VILLAGE DR STE 300, SUITE 4245, CUMMING, GA 30040(678) 595-2020(470) 297-3685 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Sheridan Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SHERIDAN LMSW (NPI 1164822623) is an individual clinical provider in Cumming, Georgia, licensed in Georgia (005777) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1164822623
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA SHERIDANCredential: LMSW
Location Address104 PILGRIM VILLAGE DR STE 300, SUITE 4245Cumming, GA 30040-9232
Mailing Address7855 Kayak WayCumming, GA 30028-8915 · (678) 595-2020 · Fax (470) 297-3685
Phone(678) 595-2020
Fax(470) 297-3685
Sole ProprietorYes
Medical School CMSOther
Enumeration DateSeptember 2, 2014
Last NPPES UpdateJanuary 12, 2017
✔ NPI 1164822623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · 005777
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License MSW005974 (GA)
104 PILGRIM VILLAGE DR STE 300, Cumming, GA 30040
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Sheridan Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618261306
PECOS Enrollment IDI20160803000647
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TRISH ALAYANA BELLANTE LMFT
Marriage & Family Therapist
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Forsyth County (949) 748-0100
THERAPEUTIC IMPRESSIONS LLC
Social Worker (Clinical)
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Forsyth County (678) 595-2020
MINDFUL WELLNESS
Clinic/Center (Mental Health (Including Community Mental Health Center))
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Forsyth County (949) 748-0100
ASHLEE SPERRY APC
Counselor (Professional)
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Forsyth County (810) 834-9407
VERONICA MCCLANAHAN
Counselor
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Forsyth County (678) 595-2020
ERICKA HOYE
Social Worker
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Forsyth County (678) 595-2020
CORNERSTONE THERAPEUTIC COUNSELING LLC
Counselor (Professional)
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Forsyth County (404) 867-2291
SMITH THERAPY, LLC
Social Worker (Clinical)
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Forsyth County (678) 933-2517

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Sheridan's NPI number?

The NPI number for Jessica Sheridan is 1164822623. It was assigned to this individual provider in the NPPES registry on September 2, 2014.

Where is Jessica Sheridan located?

Jessica Sheridan practices at 104 Pilgrim Village Dr Ste 300 Suite 4245, Cumming, GA 30040. The listed phone number is (678) 595-2020.

What is Jessica Sheridan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Sheridan enrolled in Medicare?

Yes. Jessica Sheridan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jessica Sheridan was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.