MRS. EVELYN CRAIG EDMONDSON (NPI# 1396885539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396885539 |
| Entity Type | Individual |
| Full Name | MRS. EVELYN CRAIG EDMONDSON |
| Credential | LCSW |
| Practice Address |
44 Cottonwood Street Clayton GA 30525 |
| Mailing Address |
Po Box 1689 Clayton GA 30525-0043 |
| Practice Telephone | 7067820717 |
| Practice Fax Number | 7067825266 |
| Mailing Telephone | 7067820717 |
| Mailing Fax Number | 7067825266 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
000924 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AMERIGROUP | 10045590 | 01 |
| Street Address |
44 COTTONWOOD STREET |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346380946 | Christy Elizabeth Black | Counselor | 44 Cottonwood Street, Clayton, GA 30525 | 2007-02-06 |
| 1497933469 | Nancy B Schimp | Counselor | 44 Cottonwood Street, Clayton, GA 30525 | 2008-02-01 |
| 1851436299 | Carrie Mclamar | Counselor | 44 Cottonwood Street, Clayton, GA 30525 | 2007-02-21 |
| 1053452565 | Barbara H. Marshall | Counselor | 44 Cottonwood Street, Clayton, GA 30525 | 2007-02-08 |
| 1609916147 | Family Art Therapy Center | Counselor | 44 Cottonwood Street, Clayton, GA 30525 | 2007-02-07 |
| 1194865279 | Thomas Gregory Cole | Counselor | 44 Cottonwood Street, Clayton, GA 30525 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| 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 |
|---|---|---|---|---|
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1326669102 | Emily Painter | Social Worker | 408 Hardaway Pt, Clayton, NC 27527-5572 | 2020-05-03 |
| 1740810027 | River Ease Psychotherapy Services | Social Worker | 125 State St Ste 1, Clayton, NY 13624-1355 | 2020-01-25 |
| 1497398804 | Jonathan I Graham | Social Worker | 6454 Alamo Ave Apt 1w, Clayton, MO 63105-3155 | 2019-10-18 |
| 1841847738 | Allegra D Grawer | Social Worker | 8000 Bonhomme Ave Ste 412, Clayton, MO 63105-3515 | 2019-08-24 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| 1629516075 | Nakunda Mccoy Everett | Social Worker | 60 Buckleigh Dr, Clayton, NC 27527-6612 | 2017-02-06 |
| 1639622178 | Jodi Fletcher | Social Worker | 5904 Millington Rd, Clayton, DE 19938-2558 | 2016-08-02 |
| 1144672601 | Shawnee Palmer | Social Worker | 141 N Meramec Ave Ste 109, Clayton, MO 63105-3750 | 2016-07-08 |
| Find all providers in CLAYTON | ||||
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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.