MS. ANDREA SMITH (NPI# 1164753034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164753034 |
Entity Type | Individual |
Full Name | MS. ANDREA SMITH |
Credential | LCSW |
Practice Address |
275 Country Club Dr Stockbridge GA 30281-7349 |
Practice Telephone | 7704748400 |
Mailing Telephone | 6787894472 |
Enumeration Date | 2010-01-15 |
Last Update Date | 2019-04-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW004111 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE: GROUP | 202G700706 | 01 |
GA | MEDICARE | 202I803230 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851934442 | Andrea Jean Smith | Adult Companion | 3318 N Defiance St, Tacoma, WA 98407-1512 | 2019-10-25 |
1003462631 | Andrea N Smith | Registered Nurse | 44-3703 Kukuipapa Rd, Paauilo, HI 96776 | 2019-08-09 |
1619454493 | Andrea Smith | Specialist | 3619 N Arlington Ave, Indianapolis, IN 46218-1806 | 2018-07-24 |
1831637073 | Andrea Smith | Physical Therapist | 63675 E Saddlebrooke Blvd Ste R, Tucson, AZ 85739-1297 | 2017-02-08 |
1396287421 | Andrea Smith | Developmental Therapist | 1211 Cuyler Ave, Berwyn, IL 60402-1118 | 2016-11-07 |
1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
1275991614 | Andrea Smith | Counselor | 27 S Sherman St, Apt. 206, Denver, CO 80209-1662 | 2016-01-31 |
1780005678 | Andrea Arenas Smith | Advanced Practice Midwife | 25415 York Rd, Royal Oak, MI 48067-3021 | 2013-12-19 |
1205266285 | Andrea Smith | Occupational Therapist | 2110 Crossover Dr, Cumming, GA 30040-9636 | 2013-11-12 |
1942641071 | Andrea Lynette Smith | Physical Therapist | 124 Linda Ave, Delran, NJ 08075-2110 | 2013-07-17 |
Street Address |
275 COUNTRY CLUB DR |
City | STOCKBRIDGE |
State | GA |
Zip Code | 30281-7349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982657300 | Tanya Coyle Hargrove | Counselor | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2006-05-18 |
1952851354 | April E Barnes | Counselor | 275 Country Club Dr, Stockbridge, GA 30281 | 2016-10-10 |
1811379381 | Jeffrey Ayers | Counselor | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2015-06-22 |
1730417163 | Keystone Counseling Center | Community/Behavioral Health | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2009-11-23 |
1609088517 | Alisha Curry Walker | Counselor | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2007-05-04 |
1417092339 | Keystone Counseling Center | Counselor | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2007-02-20 |
1265582357 | Margaret O. Weaver | Psychologist | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2007-01-11 |
1699849265 | David Arthur Hermecz | Psychologist | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2006-11-17 |
1073691911 | Karla Redman | Social Worker | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2006-11-01 |
1689759458 | Lance Alfrred Netland | Marriage & Family Therapist | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2006-10-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
Find all providers in zip 30281 |
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 |
---|---|---|---|---|
1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
1215565429 | Beverly Ann Cobb | Social Worker | 2510 Eastwood Village Dr, Stockbridge, GA 30281-7726 | 2020-04-01 |
1144705336 | Carole Owens | Social Worker | 14 Prospect Hill Road, Stockbridge, MA 01262 | 2018-10-03 |
1548748379 | Jennifer Schafer | Social Worker | 224 Country Club Dr, Stockbridge, GA 30281 | 2018-08-03 |
1528570744 | April Marie Hicks | Social Worker | 328 Saint Ives Xing, Stockbridge, GA 30281-7290 | 2017-10-27 |
1407381015 | Matthew Taylor | Social Worker | 1124 Evergreen Way, Stockbridge, GA 30281-6237 | 2017-04-21 |
1255736617 | Christi Perry Hardeman | Social Worker | 160 Memory Ln, Stockbridge, GA 30281-6263 | 2014-10-28 |
1023417565 | Devesea Tatum | Social Worker | 255 Corporate Center Dr Ste C, Stockbridge, GA 30281-7376 | 2014-08-21 |
1902219140 | Lisa Renee Benton | Social Worker | 217 Sharpstone Bnd, Stockbridge, GA 30281-9431 | 2014-06-05 |
1770848970 | Sonja K Lyons | Social Worker | 119 Rock Quarry Rd, Stockbridge, GA 30281-3742 | 2012-07-12 |
Find all providers in STOCKBRIDGE |
City | STOCKBRIDGE |
Zip Code | 30281 |
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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.