MRS. KASHANA TANESHIA GAINES (NPI# 1306292701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306292701 |
| Entity Type | Individual |
| Full Name | MRS. KASHANA TANESHIA GAINES |
| Credential | LCSW |
| Practice Address |
6407 Swallowtail Drive Statesboro GA 30458-5385 |
| Mailing Address |
6407 Swallowtail Dr Statesboro GA 30461-0724 |
| Practice Telephone | 9123625267 |
| Mailing Telephone | 9123625267 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW005733 | GA | Behavioral Health & Social Service Providers |
| Street Address |
6407 SWALLOWTAIL DRIVE |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-5385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| 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 |
|---|---|---|---|---|
| 1366772253 | Gaynell Denise Hill | Social Worker | 207 Lee Dr, Statesboro, GA 30461-6844 | 2009-12-28 |
| 1225234057 | April Michelle Schueths | Social Worker | 114 N College St, Statesboro, GA 30458-5309 | 2007-06-27 |
| 1144319237 | Stephen R. Fishack | Social Worker | 106 Oak St Ste A, Statesboro, GA 30458-0988 | 2006-10-12 |
| 1265041321 | Stephanie Lupita Spencer | Social Worker | 337 S Walnut St, Statesboro, GA 30458-5418 | 2020-07-24 |
| 1396220737 | Ashley Kathryn Hand | Social Worker | 100 Brampton Ave, Statesboro, GA 30458-0827 | 2018-10-02 |
| 1770080459 | Delores Deanne Liston | Social Worker | 112 N College St, Statesboro, GA 30458-5309 | 2018-04-10 |
| 1437414794 | A2c Therapeutic Services Inc | Social Worker | 125 N College St, Statesboro, GA 30458-5387 | 2012-07-11 |
| 1518279793 | East Georgia Counseling Services, Inc. | Social Worker | 125 N College St, Statesboro, GA 30458-5387 | 2010-07-05 |
| 1184765828 | Amy Payne Clifton | Social Worker | 204 S Main St, Statesboro, GA 30458-0723 | 2007-02-08 |
| 1558432757 | Kim Hulsey | Social Worker | 19 Lester Rd, Statesboro, GA 30458-2119 | 2006-11-11 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on MRS. KASHANA TANESHIA GAINES.
| 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.