Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clara Throckmorton

Individual provider Social Worker · NPI 1477827830

Clara Throckmorton is a Clinical Social Worker in Atlanta, Georgia. Qualified in 2009, 17 years ago. Practices with Richard Kneip PHD PC, a 243-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Michigan.

Years since qualifying
17
Licensed in
GA, MI
In the registry since
2012
Specialties on file
3

Practice location Address checks out

1155 Lavista Rd NE Apt 2322
Atlanta, GA 30324-3754
Phone: (734) 678-1363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13101 Allen Rd, Southgate, MI 48195-2216 — (734) 785-7700

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801112468 (MI)
Social Worker Taxonomy 104100000X · Licence 6801092793 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW007928 (GA)

Record details

NPI number1477827830
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2012
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address5215 Bradmore Ln, Warren, MI 48092-6322

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Richard Kneip Phd Pc — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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