ANDREA DELEO WHITTAKER (NPI# 1205472537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205472537 |
| Entity Type | Individual |
| Full Name | ANDREA DELEO WHITTAKER |
| Credential | LCSW |
| Practice Address |
330 Research Dr Ste 250 Athens GA 30605-2747 |
| Mailing Address |
608 Brakeman Cir Jefferson GA 30549-3252 |
| Practice Telephone | 7062242402 |
| Mailing Telephone | 7062242402 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW006676 | GA | Behavioral Health & Social Service Providers |
| Street Address |
330 RESEARCH DR STE 250 |
| City | ATHENS |
| State | GA |
| Zip Code | 30605-2747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
| 1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
| 1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
| 1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
| 1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| Find all providers in zip 30605 | ||||
| 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 |
|---|---|---|---|---|
| 1609480557 | Damien W Pettway | Social Worker | 445 Huntington Rd Ste 120, Athens, GA 30606-1840 | 2020-09-08 |
| 1689285124 | Samantha L Moon | Social Worker | 10715 State Route 691, Athens, OH 45701-9154 | 2020-08-10 |
| 1457978249 | Donna Leigh Bliss | Social Worker | 213 East Berkeshire Ct, Athens, GA 30606-8406 | 2020-06-29 |
| 1841814662 | Zoe M Johnson | Social Worker | 269 Towns Walk Dr, Athens, GA 30606-7977 | 2020-06-08 |
| 1598223349 | Latoya Sanders | Social Worker | 909 Blaine Rd, Athens, TX 75751-2969 | 2019-03-11 |
| 1801366729 | Kirstin Miani Kreutzer | Social Worker | 150 Tuxedo Rd, Athens, GA 30606-3134 | 2018-12-04 |
| 1851810949 | Cedar Creek Wellness | Social Worker | 985 Gaines School Rd, Athens, GA 30605-3133 | 2017-09-11 |
| 1386189793 | Devin Mcleod | Social Worker | 265 Pineneedle Rd, Athens, GA 30606-2715 | 2016-12-21 |
| 1851841233 | Leslie Holliday Ring | Social Worker | 337 S Milledge Ave Ste 210, Athens, GA 30605-5664 | 2016-10-10 |
| 1033561436 | Nikiki Stovall | Social Worker | 405 Gaines School Rd Ste C4, Athens, GA 30605-3101 | 2016-07-08 |
| Find all providers in ATHENS | ||||
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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.