SANDRA JULIANA BRAVO-PATINO (NPI# 1225454960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225454960 |
| Entity Type | Individual |
| Full Name | SANDRA JULIANA BRAVO-PATINO |
| Credential | LCSW |
| Practice Address |
5231 Fremont Ct Sw Stone Mountain GA 30087-3240 |
| Practice Telephone | 6783689623 |
| Mailing Telephone | 6783689623 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW004897 | GA | Behavioral Health & Social Service Providers |
| Street Address |
5231 FREMONT CT SW |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| 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 |
|---|---|---|---|---|
| 1417560939 | Yolanda E Scott | Social Worker | 4925 Clubgreen Smt, Stone Mountain, GA 30088-3928 | 2020-08-25 |
| 1316500317 | Emily Renee Levine | Social Worker | 1265 Cedar Park Pl, Stone Mountain, GA 30083-1854 | 2019-04-16 |
| 1033772140 | Shundra Burnes | Social Worker | 925 Main St Ste 300-50, Stone Mountain, GA 30083-3098 | 2019-04-16 |
| 1093289183 | Sierra Bloxson | Social Worker | 5100 W Mountain St Apt N301, Stone Mountain, GA 30083-7419 | 2019-01-11 |
| 1477042695 | Kayon M. Smith | Social Worker | 168 Walter Way, Stone Mountain, GA 30083-6113 | 2018-05-02 |
| 1487162848 | Erinn Williams | Social Worker | 1002 Whitney Chase, Stone Mountain, GA 30088-4257 | 2018-01-18 |
| 1609257617 | Rhonda B Haile | Social Worker | 6829 Cottage Oaks Ct, Suite B, Stone Mountain, GA 30087-4793 | 2015-06-16 |
| 1184016743 | Sonya Thomas | Social Worker | 1087 Erie Cir, Stone Mountain, GA 30087-6528 | 2015-02-19 |
| 1225452915 | Crystal Williams | Social Worker | 721 Valley View Dr, Stone Mountain, GA 30087-3936 | 2014-02-14 |
| 1497176671 | Maria Rhodes Walker | Social Worker | 837 Deerfield Ct, Stone Mountain, GA 30087-5483 | 2013-12-14 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
Please comment or provide details below to improve the information on SANDRA JULIANA BRAVO-PATINO.
| 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.