MR. STANLEY MICHAEL EUGENE ALLEN (NPI# 1023179116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023179116 |
| Entity Type | Individual |
| Full Name | MR. STANLEY MICHAEL EUGENE ALLEN |
| Credential | LCSW |
| Practice Address |
1770 Indian Trail Rd Suite 200 Norcross GA 30093-2645 |
| Mailing Address |
1499 Kay Ln Ne Atlanta GA 30306-3111 |
| Practice Telephone | 7709239200 |
| Mailing Telephone | 4042195821 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW000707 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 032860193A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265689095 | Stanley C Allen | Physical Medicine & Rehabilitation | 105 Corporate Dr, Pease International Tradeport, Portsmouth, NH 03801-6825 | 2008-08-22 |
| 1326034505 | Stanley Bruce Allen | Physician Assistant | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2005-09-23 |
| 1649757824 | Stanley Leroy Allen | Counselor | 4820 She Nah Num Dr Se, Olympia, WA 98513 | 2018-07-20 |
| 1093185878 | Stanley Allen Jr. | Dentist | 2783 Nc Highway 68 S, Suite 107, High Point, NC 27265-8324 | 2015-10-06 |
| 1932288511 | Stanley D Allen | Orthopaedic Surgery | 301 University Blvd, Galveston, TX 77555-1022 | 2006-11-03 |
| 1164476149 | Stanley Llewellyn Allen IIi | Emergency Medicine | 2400 Mt. Zion Parkway Kaiser Permanente, Southwood Comprehensive Medical Center, Jonesboro, GA 30236 | 2006-05-22 |
| 1285631127 | Stanley Eric Allen | Internal Medicine | 1025 S 6th St, Springfield, IL 62703-2403 | 2005-07-07 |
| Street Address |
1770 INDIAN TRAIL RD SUITE 200 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619981925 | Stanley M.e.allen Lcsw,llc | Social Worker | 1770 Indian Trail Rd, Suite 200, Norcross, GA 30093-2645 | 2006-07-29 |
| 1114346061 | Keya Johnson | Social Worker | 1770 Indian Trail Rd, Suite 140, Norcross, GA 30093-2627 | 2014-04-08 |
| 1841555133 | Karl James Straub | Psychologist | 1770 Indian Trail Rd, Suite 140, Norcross, GA 30093-2645 | 2012-07-12 |
| 1366730079 | My Epiphany Counseling and Consultation Services, LLC. | Counselor | 1770 Indian Trail Rd, Suite 200, Norcross, GA 30093-2645 | 2011-07-14 |
| 1710283072 | Rosati, Inc. | In Home Supportive Care | 1770 Indian Trail Rd, Suite 200, Norcross, GA 30093-2645 | 2011-02-03 |
| 1649434010 | Brownstone Financial Group | Durable Medical Equipment & Medical Supplies | 1770 Indian Trail Rd, Suite 200, Norcross, GA 30093-2645 | 2008-07-15 |
| 1942494711 | C. Timothy Riney | Psychologist | 1770 Indian Trail Rd, Ste 140, Norcross, GA 30093-2627 | 2007-09-04 |
| 1679692180 | Dr. Patricia Farley, Phd, LLC | Psychologist | 1770 Indian Trail Rd, Suite 200, Norcross, GA 30093-2645 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443304 | Holly Stuckey | Social Worker | 5748 Pine Oak Dr, Norcross, GA 30092-3508 | 2020-10-04 |
| 1225652829 | Alexis Brown | Social Worker | 1182 Jenny Lyn Dr, Norcross, GA 30093-4823 | 2020-05-31 |
| 1386275964 | Psych Connection LLC | Social Worker | 2030 Beaver Ruin Rd Ste C, Norcross, GA 30071-3710 | 2020-01-31 |
| 1396308714 | Renewed Mental Health Senior Services | Social Worker | 5950 Live Oak Pkwy Ste 240, Norcross, GA 30093-1743 | 2019-04-22 |
| 1578028676 | Shari S Grizzle | Social Worker | 2030 Beaver Ruin Rd, Norcross, GA 30071-3710 | 2019-02-04 |
| 1316344864 | Abria J Bonner | Social Worker | 6900 Springs Ln, Apt E, Norcross, GA 30092-6547 | 2014-11-28 |
| 1558619833 | Lisa Ann Sackellares | Social Worker | 6000 Live Oak Pkwy, Suite 100, Norcross, GA 30093-1732 | 2012-08-17 |
| 1932465697 | Brandy Shavon Stinson | Social Worker | 4345 Redgate Rd, Norcross, GA 30093-3313 | 2012-04-07 |
| 1730408543 | Suzanne Wunder Timms | Social Worker | 4530 S Berkeley Lake Rd # B, Norcross, GA 30071-1639 | 2010-05-19 |
| 1780720029 | Vivian Varner Wilber | Social Worker | 4989 Peachtree Pkwy, Suite 200, Norcross, GA 30092-2589 | 2007-01-30 |
| Find all providers in NORCROSS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.