JACYE A JOHNSON (NPI# 1245545946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245545946 |
| Entity Type | Individual |
| Full Name | JACYE A JOHNSON |
| Credential | CSW |
| Practice Address |
1200 Lake Hearn Dr Ne Suite 250 Atlanta GA 30319-1415 |
| Mailing Address |
9882 Vista Cir Union City GA 30291-6022 |
| Practice Telephone | 4049431070 |
| Practice Fax Number | 4049430890 |
| Mailing Telephone | 7709642024 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003228 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DRIVERS LICENSE | 037384362 | 01 |
| Street Address |
1200 LAKE HEARN DR NE SUITE 250 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30319-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467431940 | Narayan S Naik | Dermatology | 1200 Lake Hearn Dr Ne, Suite300, Atlanta, GA 30319-1415 | 2006-01-12 |
| 1336495605 | Glenda Berthelot | Speech-Language Pathologist | 1200 Lake Hearn Dr Ne, Suite 250, Atlanta, GA 30319-1415 | 2012-07-24 |
| 1285908160 | Dora Mcfadden | Occupational Therapist | 1200 Lake Hearn Dr Ne, Atlanta, GA 30319-1415 | 2012-02-24 |
| 1144598707 | Edward Reizenson | Pharmacist | 1200 Lake Hearn Dr Ne, Atlanta, GA 30319-1415 | 2011-12-09 |
| 1992072169 | Olabimpe Jemilat Shittabey | Pharmacist | 1200 Lake Hearn Dr Ne, Atlanta, GA 30319-1415 | 2011-11-16 |
| 1245515451 | Adebanke O Kamson | Pharmacist | 1200 Lake Hearn Dr Ne, Atlanta, GA 30319-1415 | 2011-10-19 |
| 1164705570 | Hillary N Nchotu | Pharmacist | 1200 Lake Hearn Dr Ne, Suite #425, Atlanta, GA 30319-1415 | 2011-09-21 |
| 1801176763 | Sharon R Hay | Occupational Therapist | 1200 Lake Hearn Dr Ne, Suite 250, Atlanta, GA 30319-1415 | 2011-08-24 |
| 1124318993 | Denia M Phillips | Physical Therapist | 1200 Lake Hearn Dr Ne, Suite 250, Atlanta, GA 30319-1415 | 2011-04-14 |
| 1750514402 | Mary Ann Mokhemar | Speech-Language Pathologist | 1200 Lake Hearn Dr Ne, Suite 250, Atlanta, GA 30319-1415 | 2009-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1124682281 | Tiffany Nicole Blamble | Physician Assistant | 2235 Briarwood Way Ne, Brookhaven, GA 30319 | 2019-04-24 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1578070355 | Aaron Knott | Physical Therapist | 4260 Peachtree Road, Atlanta, GA 30319 | 2018-01-03 |
| 1639683832 | Lauren Hamann | Physical Therapist | 3777 Peachtree Rd Ne Apt 933, Brookhaven, GA 30319 | 2017-11-27 |
| 1760993984 | Caroline M. Brackette | Counselor | 2002 Summit Blvd Ste 300, Brookhaven, GA 30319 | 2017-10-15 |
| 1700328713 | Christina Head | Counselor | 1350 Dresden Drive, Atlanta, GA 30319 | 2016-11-08 |
| 1528432572 | Hillary Allyn Olivier | Occupational Therapist | 3747 Peachtree Rd, Atlanta, GA 30319 | 2015-11-13 |
| 1285025304 | Karl Weismantel | Physical Therapy Assistant | 1000 Lenox Park Blvd, Atlanta, GA 30319 | 2015-02-11 |
| Find all providers in zip 30319 | ||||
| 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 |
|---|---|---|---|---|
| 1023617495 | Anita S White | Social Worker | 981 Cleveland Ave, Atlanta, GA 30344-6717 | 2020-10-18 |
| 1164038394 | Alex Kyle Allen | Social Worker | 10 Surry County Pl Nw, Atlanta, GA 30318-1412 | 2020-09-22 |
| 1679189872 | Nicole Melissa King | Social Worker | 130 Arizona Ave Ne Unit 408, Atlanta, GA 30307-2257 | 2020-09-22 |
| 1245845288 | Jennie Gray Mulligan | Social Worker | 1911 Hallman St Ne, Atlanta, GA 30317-1001 | 2020-09-15 |
| 1518577253 | Chastity Quave | Social Worker | 790 Huff Rd Nw Apt 2062, Atlanta, GA 30318-4344 | 2020-08-07 |
| 1407465354 | Lavender Grove Psychotherapy | Social Worker | 3755 Redwine Rd, Atlanta, GA 30344-5899 | 2020-07-27 |
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1518576883 | Dream Again Therapy Services LLC | Social Worker | 3401 Norman Berry Dr Ste 254a, Atlanta, GA 30344-5102 | 2020-07-23 |
| 1245848878 | Chalon Dabney | Social Worker | 1155 Perimeter Ctr, Atlanta, GA 30338-5463 | 2020-07-20 |
| 1649888595 | Adrienne Bryant Smith | Social Worker | 2099 Glenwood Ave Se, Atlanta, GA 30316-2358 | 2020-07-16 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on JACYE A JOHNSON.
| 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.