MR. KEVIN DUANE LARRY (NPI# 1396932281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396932281 |
| Entity Type | Individual |
| Full Name | MR. KEVIN DUANE LARRY |
| Credential | LMSW, LCSW |
| Practice Address |
1119 Silvergate Ln Mableton GA 30126 |
| Mailing Address |
1119 Silvergate Lane Mableton GA 30126 |
| Practice Telephone | 4049887120 |
| Mailing Telephone | 4049887120 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CSW003802 | GA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801061643 | MI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003802 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1102 S. Mackin Rd, Flint, MI 485031204 | 4049887120 |
| Street Address |
1119 SILVERGATE LN |
| City | MABLETON |
| State | GA |
| Zip Code | 30126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396248860 | Key Essentials Counseling and Consulting LLC | Clinic/Center | 1119 Silvergate Ln, Mableton, GA 30126-1273 | 2018-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083256804 | Thelwell Immediate Care Clinic Inc | Clinic/Center | 1400 Veterans Memorial Highway Se Suite 134 #176, Mableton, GA 30126 | 2019-10-14 |
| 1467011049 | Iora Senior Health, Inc. | Internal Medicine | 5015 Floyd Rd, Suite 710, Mableton, GA 30126 | 2019-06-07 |
| 1649677626 | Wonderfully Made Wellness, Inc. | Specialist | 464 Vinings Vintage Circle Se, Mableton, GA 30126 | 2014-11-19 |
| 1811240633 | The Adult Resource Coalition | Community/Behavioral Health | 609 Hunnicut Rd, Mableton, GA 30126 | 2012-10-17 |
| 1922389253 | American Current Care Pa | Clinic/Center | 1025 Veterans Memorial, Mableton, GA 30126 | 2011-08-31 |
| 1558504308 | Eddie Joe Turner Jr. | Emergency Medicine | 4855 Floyd Rd Sw, Mableton, GA 30126 | 2009-04-09 |
| 1285881227 | Community Dental Services Inc | Dentist | 5761 Mableton Parkway, Mableton, GA 30126 | 2008-08-21 |
| 1164634440 | Mableton Dental Inc | Dentist | 5841 Mableton Pkwy, Mableton, GA 30126 | 2007-05-07 |
| 1104038686 | Charles L Davenport Jr. | Pharmacist | 558 Ivey Way S.e., Mableton, GA 30126 | 2007-05-04 |
| 1821120015 | Morton Blair Dimenstien | Dentist | 6035 Mableton Parkway, Mableton, GA 30126 | 2007-03-12 |
| Find all providers in zip 30126 | ||||
| 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 |
|---|---|---|---|---|
| 1932684958 | Shava Cureton-clark | Social Worker | 1400 Veterans Memorial Highway, Suite 134- # 171, Mableton, GA 30126-2952 | 2018-09-25 |
| 1063969087 | Silvia Ann Lynch | Social Worker | 5800 Oakdale Rd Se Unit 112, Mableton, GA 30126-5769 | 2016-09-07 |
| 1730572462 | River Rise, LLC | Social Worker | 5701 Mableton Pkwy Sw, Suite 411, Mableton, GA 30126-3395 | 2015-03-04 |
| 1831472877 | Tenesha Littleton | Social Worker | 6597 Arbor Gate Dr Sw, Mableton, GA 30126-4461 | 2011-09-26 |
| 1548542046 | Shamim Neal | Social Worker | 545 Cardell Cir Se, Mableton, GA 30126-4602 | 2011-09-12 |
| 1750684452 | Kara Beckett Coleman | Social Worker | 563 Ivey Way Se, Mableton, GA 30126-4563 | 2010-12-19 |
| 1346413101 | Loutina Rena Murrell | Social Worker | 6859 Slate Stone Way Se, Suite 3-c, Mableton, GA 30126-5469 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487782 | Lora Christi Dukes | Social Worker | 612 Kenwood Dr, Waycross, GA 31501-6904 | 2020-11-05 |
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1326647629 | Sheba Phillips | Social Worker | 2402 Orlando Dr, Valdosta, GA 31602-1921 | 2020-10-19 |
| 1144829482 | Jennifer M Sublett | Social Worker | 1721 Sterling Cir, Cairo, GA 39828-4501 | 2020-10-19 |
| 1023617495 | Anita S White | Social Worker | 981 Cleveland Ave, Atlanta, GA 30344-6717 | 2020-10-18 |
| 1700484102 | Nicole Elisabeth Kohl | Social Worker | 70 Sunbury Ct, Richmond Hill, GA 31324-9621 | 2020-10-16 |
| 1629676333 | Christiana Oluwatoyin Sonuga | Social Worker | 699 Clairidge Elm Trl, Lawrenceville, GA 30046-7753 | 2020-10-14 |
| 1407454663 | Danielle Deane | Social Worker | 1655 Grayson Hwy Apt 6307, Grayson, GA 30017-1133 | 2020-10-10 |
| 1306443304 | Holly Stuckey | Social Worker | 5748 Pine Oak Dr, Norcross, GA 30092-3508 | 2020-10-04 |
| 1316544323 | Summer Al-majed | Social Worker | 180 Shore Dr, Suwanee, GA 30024-2940 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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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.