MR. OTIS CHANDLER (NPI# 1215212642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215212642 |
| Entity Type | Individual |
| Full Name | MR. OTIS CHANDLER |
| Credential | LCSW |
| Practice Address |
5960 Crooked Creek Rd Suite 140-f Peachtree Corners GA 30092-6219 |
| Mailing Address |
2765 Hidden Creek Dr Loganville GA 30052-7595 |
| Practice Telephone | 4046644517 |
| Mailing Telephone | 4046644517 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2017-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 17210 | MD | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW005989 | GA | Behavioral Health & Social Service Providers |
| Street Address |
5960 CROOKED CREEK RD SUITE 140-F |
| City | PEACHTREE CORNERS |
| State | GA |
| Zip Code | 30092-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720525181 | Magaen Harris | Counselor | 5960 Crooked Creek Rd, Peachtree Corners, GA 30092-6219 | 2017-01-24 |
| 1609313113 | S.t.a.r. Counseling LLC | Social Worker | 5960 Crooked Creek Rd, Peachtree Corners, GA 30092-6219 | 2017-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
| 1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
| 1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
| 1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
| 1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| Find all providers in zip 30092 | ||||
| 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 |
|---|---|---|---|---|
| 1629684501 | Catecia Montae Godbee | Social Worker | 1524 Wynfield Trce, Peachtree Corners, GA 30092-4564 | 2020-09-16 |
| 1083256366 | Rachelle Wicker | Social Worker | 1535 Holcomb Bridge Rd Apt C, Peachtree Corners, GA 30092-3209 | 2019-10-08 |
| 1578872867 | Dayan Carla Bookman | Social Worker | 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071-1727 | 2010-10-04 |
| 1013053131 | Loretta A Steurer | Social Worker | 5680 Peachtree Parkway, Suite A & B, Peachtree Corners, GA 30092 | 2007-01-29 |
| 1356984348 | Oasis Counseling LLC | Social Worker | 3949 Holcomb Bridge Rd Ste 200, Peachtree Corners, GA 30092-2208 | 2019-10-22 |
| 1609419720 | Anchored Hope Consulting, LLC | Social Worker | 1535 Holcomb Bridge Rd Apt C, Peachtree Corners, GA 30092-3209 | 2019-10-21 |
| 1265961205 | Justin Gordon | Social Worker | 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071-1727 | 2017-06-05 |
| 1144757659 | Mary Stack | Social Worker | 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071-1727 | 2017-05-15 |
| 1609313113 | S.t.a.r. Counseling LLC | Social Worker | 5960 Crooked Creek Rd, Peachtree Corners, GA 30092-6219 | 2017-01-22 |
| 1104248384 | Polly Bell | Social Worker | 5680 Peachtree Pkwy Ste B, Peachtree Corners, GA 30092-2857 | 2014-01-07 |
| Find all providers in PEACHTREE CORNERS | ||||
| City | PEACHTREE CORNERS |
| Zip Code | 30092 |
Please comment or provide details below to improve the information on MR. OTIS CHANDLER.
| 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.