DR. SHUNTAY RENEE STRACHAN (NPI# 1265073621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265073621 |
| Entity Type | Individual |
| Full Name | DR. SHUNTAY RENEE STRACHAN |
| Credential | LCSW, EDD |
| Practice Address |
1899 Lake Rd Hiram GA 30141-2291 |
| Mailing Address |
3070 Staglin Dr Powder Springs GA 30127-5082 |
| Practice Telephone | 4049076635 |
| Mailing Telephone | 9126747002 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CSW005510 | GA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW005510 | GA | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
CSW005510 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1899 LAKE RD |
| City | HIRAM |
| State | GA |
| Zip Code | 30141-2291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609846237 | Mike C. Laur | Podiatrist | 1899 Lake Rd, Suite 210, Hiram, GA 30141-2291 | 2006-01-25 |
| 1093974578 | West Ga Family Medicine, PC | Family Medicine | 1899 Lake Rd, 212, Hiram, GA 30141-2291 | 2008-06-09 |
| 1972626588 | Sharon A Hatch | Chiropractor | 1899 Lake Rd, Suite 122, Hiram, GA 30141-2291 | 2007-04-09 |
| 1063533727 | Chris Dana Lockerman | Chiropractor | 1899 Lake Rd, Suite 113, Hiram, GA 30141-2291 | 2007-04-02 |
| 1114054343 | Pt Solutions of Acworth LLC | Physical Therapist | 1899 Lake Rd, Suite 122, Hiram, GA 30141-2291 | 2007-02-27 |
| 1114066032 | Beverly Lynn Martin | Chiropractor | 1899 Lake Rd, Suite 2a, Hiram, GA 30141-2291 | 2007-02-06 |
| 1194768218 | Terry Newton Langford | Family Medicine | 1899 Lake Rd, Suite 212, Hiram, GA 30141-2291 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
| 1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
| 1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
| 1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
| 1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
| 1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
| 1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
| 1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
| 1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
| 1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
| Find all providers in zip 30141 | ||||
| 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 |
|---|---|---|---|---|
| 1699383315 | Tracy Flagg | Social Worker | Sacopee Valley Middle School, 137 South Hiram Rd, Hiram, ME 04041 | 2020-07-20 |
| 1609308964 | Mychoice Solutions LLC | Social Worker | 13020 Tilden Rd, Hiram, OH 44234-9725 | 2017-03-28 |
| 1821432444 | Edward Miguel Valentin | Social Worker | 126 Enterprise Path Ste 104b, Hiram, GA 30141-2655 | 2013-04-25 |
| 1952358905 | Janet L Behnke | Social Worker | 19 River Rd, Hiram, ME 04041-3516 | 2006-05-27 |
| 1972559045 | Suzanne T. Gosselin | Social Worker | 137 S Hiram Rd, Hiram, ME 04041-3636 | 2006-05-26 |
| 1912495961 | Lisa Michele Hunker | Social Worker | 126 Enterprise Path Ste 201, Hiram, GA 30141-2654 | 2018-04-25 |
| 1336562966 | Latorey Howard | Social Worker | 5604 Wendy Bagwell Pkwy, Suite 611, Hiram, GA 30141-7813 | 2014-02-03 |
| 1275963001 | Kimberly Bryant | Social Worker | 126 Enterprise Path, Hiram, GA 30141-2656 | 2013-11-14 |
| 1548572415 | Empowered2change LLC | Social Worker | 5604 Wendy Bagwell Pkwy, Suite 812, Hiram, GA 30141-7813 | 2010-07-08 |
| 1174852156 | Sha-rhonda M. Davis | Social Worker | 5604 Wendy Bagwell Pkwy, 812, Hiram, GA 30141-7813 | 2009-12-21 |
| Find all providers in HIRAM | ||||
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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.