MRS. EDWINA LENORA WHITTINGHAM (NPI# 1396999306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396999306 |
| Entity Type | Individual |
| Full Name | MRS. EDWINA LENORA WHITTINGHAM |
| Other Name | EDWINA LENORA KNOX-BETTY |
| Credential | LCSW |
| Practice Address |
1808 Over Lake Dr Se Ste D Conyers GA 30013-6608 |
| Mailing Address |
2530 Old Salem Cir Se Conyers GA 30013-2454 |
| Practice Telephone | 6782132194 |
| Practice Fax Number | 6789227767 |
| Mailing Telephone | 7709188348 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003478 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1808 OVER LAKE DR SE STE D |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-6608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516608 | Brandi Michelle Williams | Social Worker | 1808 Over Lake Dr Se Ste D, Conyers, GA 30013-6608 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| 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 |
|---|---|---|---|---|
| 1477167955 | Taiti Harden Pitts | Social Worker | 3501 Mccallister Ln, Conyers, GA 30013-7500 | 2020-09-02 |
| 1104301670 | Rena M Glass-dixon | Social Worker | 990 Iris Dr Sw Ste 103, Conyers, GA 30094-6602 | 2018-09-30 |
| 1932628518 | Restoring Wellness Counseling | Social Worker | 1226 Royal Dr Sw Ste E, Conyers, GA 30094-5926 | 2017-09-14 |
| 1669836920 | Latonya Carter | Social Worker | 1226 Royal Dr Sw Ste O, Conyers, GA 30094-5926 | 2016-04-12 |
| 1679948798 | Tomeka L Howell | Social Worker | 327 Loch Haven Dr Se, Conyers, GA 30013-6346 | 2015-12-01 |
| 1902283542 | Rose Marie Williams | Social Worker | 1623 Cherry Hill Ct Sw, Conyers, GA 30094-6273 | 2015-05-04 |
| 1801212022 | Latoya Grandy-walker | Social Worker | 1805 Over Lake Dr Se Ste D, Conyers, GA 30013 | 2014-03-12 |
| 1811271737 | Adrienne Johnson | Social Worker | 2047 Gees Mill Rd Ne Ste 228, Conyers, GA 30013-1361 | 2011-10-11 |
| 1871897454 | Corletha Norman-bey | Social Worker | 2375 Wall St Se Ste Office34, Conyers, GA 30013-6702 | 2010-12-22 |
| 1841419272 | Zina L. Evans | Social Worker | 3476 Creekwood Dr Se, Conyers, GA 30094-3526 | 2007-04-24 |
| Find all providers in CONYERS | ||||
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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.