JENNIE GRAY MULLIGAN (NPI# 1245845288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245845288 |
| Entity Type | Individual |
| Full Name | JENNIE GRAY MULLIGAN |
| Credential | LCSW |
| Practice Address |
1911 Hallman St Ne Atlanta GA 30317-1001 |
| Practice Telephone | 8287774252 |
| Mailing Telephone | 8287774252 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW006665 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1911 HALLMAN ST NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30317-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391395 | Tara Lozano Thrutchley | Counselor | 2033 Hosea L Williams Drive Ne, Suite 2, Atlanta, GA 30317 | 2019-11-26 |
| 1689052326 | Pharmworks Group LLC | Pharmacy | 1860 Memorial Dr Se, Atlanta, GA 30317 | 2015-05-14 |
| 1891032157 | Carla Bernita Jones | Licensed Practical Nurse | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| 1548228034 | Yuri Okuizumi Wu | Pediatrics | 35 Whitefoord Ave Se, Atlanta, GA 30317 | 2006-05-03 |
| 1093052359 | Third Day Ministry | Religious Nonmedical Practitioner | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1548215254 | Adrian Gendell Bonser | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-23 |
| 1245284041 | Magdy Attia | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-19 |
| 1942837125 | Kathryn Caracappa Boulet | Counselor | 1942 Delano Dr Ne, Atlanta, GA 30317-1009 | 2020-03-26 |
| 1790802015 | Diana R Senior-crosby | Nurse Practitioner | 150 Locust St Ne, Atlanta, GA 30317-1011 | 2007-03-23 |
| Find all providers in zip 30317 | ||||
| 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 |
| 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 |
| 1558988394 | Mary Bibb Swims | Social Worker | 240 Renaissance Pkwy Ne Apt 113, Atlanta, GA 30308-2349 | 2020-06-27 |
| Find all providers in ATLANTA | ||||
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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.