JUSTIN MCKINNEY (NPI# 1346646627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346646627 |
| Entity Type | Individual |
| Full Name | JUSTIN MCKINNEY |
| Credential | L.C.S.W. |
| Practice Address |
5960 Stewart Pkwy Douglasville GA 30135-2372 |
| Practice Telephone | 4049960170 |
| Mailing Telephone | 4049960170 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW005316 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639511363 | Justin Allan Mckinney | Physical Therapy Assistant | 1325 W 26th St, Erie, PA 16508-1469 | 2013-07-23 |
| 1124339858 | Justin Leigh Mckinney | Plastic Surgery | 210 Brooks St Ste 200, Charleston, WV 25301 | 2010-06-28 |
| 1629245378 | Justin Mckinney | Physical Therapist | 5901 Broken Sound Pkwy, Ste. 500, Boca Raton, FL 33487-2773 | 2008-05-12 |
| 1003845348 | Justin Wayne Mckinney | Specialist/Technologist | 1616 W Main St, Lebanon, TN 37087-3100 | 2006-06-30 |
| Street Address |
5960 STEWART PKWY |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295855245 | The Serenity Center, Inc. | Community/Behavioral Health | 5960 Stewart Pkwy, Douglasville, GA 30135-2372 | 2007-03-30 |
| 1265933816 | Kristy L Mycroft | Counselor | 5960 Stewart Pkwy, Douglasville, GA 30135-2372 | 2018-02-27 |
| 1265838544 | Crossroads Church of Douglasville | Counselor | 5960 Stewart Pkwy, Douglasville, GA 30135-2372 | 2014-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| 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 |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1356821169 | Shieedah Unique Powe | Social Worker | 5682 Palazzo Way Ste 103, Douglasville, GA 30134-2500 | 2018-08-21 |
| 1346729100 | Shawn Austin | Social Worker | 7073 Skippingstone Way, Douglasville, GA 30134-7006 | 2018-08-11 |
| 1730679127 | Olivet Behavioral Health Services, LLC | Social Worker | 8336 Office Park Dr Ste K, Douglasville, GA 30134-6937 | 2018-05-11 |
| 1285149047 | Darren L. Cooper | Social Worker | 8336 Office Park Dr Ofc K, Douglasville, GA 30134-6937 | 2017-12-02 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1780043133 | Care Team Health Solutions | Social Worker | 8206 Duralee Ln, Ste E, Douglasville, GA 30134-2589 | 2016-02-13 |
| 1841657905 | Care Team Health Solutions | Social Worker | 8306 Duralee Lane, Suite D1, Douglasville, GA 30135 | 2016-01-20 |
| 1346606134 | Toccara Hudson | Social Worker | 7421 Douglas Blvd Ste N315, Douglasville, GA 30135-1564 | 2016-01-08 |
| 1316316169 | Carol Huff | Social Worker | 57 Jessel Ln, Douglasville, GA 30134-5901 | 2015-09-23 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on JUSTIN MCKINNEY.
| 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.