AMY LOU KRATCOSKI (NPI# 1366610479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366610479 |
| Entity Type | Individual |
| Full Name | AMY LOU KRATCOSKI |
| Other Name | AMY LOU JOHNSON |
| Credential | LCSW |
| Practice Address |
2525 Cumberland Pkwy Se Atlanta GA 30339-3915 |
| Mailing Address |
3495 Piedmont Rd Ne Atlanta GA 30305-1717 |
| Practice Telephone | 7704314100 |
| Mailing Telephone | (404) 364-7285 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2017-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003108 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11811153 | 01 |
| Street Address |
2525 CUMBERLAND PKWY SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350801 | Sharon D Walsh | Emergency Medicine | 2525 Cumberland Pkwy Se, Kp Cumberland Medical Center, Atlanta, GA 30339-3915 | 2005-10-19 |
| 1578162970 | Stella Dimaris Cruz Rodriguez | Psychologist | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2020-10-19 |
| 1275181182 | Sheree King Ash | Psychologist | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2019-09-04 |
| 1235668393 | Katelyn Hovan | Nurse Practitioner | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2017-06-12 |
| 1497298095 | Jane Dausner | Social Worker | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2016-11-30 |
| 1962865287 | Tracey Speed | Respiratory Therapist, Registered | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2016-04-04 |
| 1306202692 | Lajuana Denise Claytor | Respiratory Therapist, Certified | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2016-01-03 |
| 1942699426 | Margot E Weneck | Nurse Practitioner | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2015-01-21 |
| 1700205879 | Elyceia Mona Dortch | Student in an Organized Health Care Education/Training Program | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2014-04-15 |
| 1174959738 | Erika Bivins | Pharmacist | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2013-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| 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 | ||||
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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.