MRS. MARLENE FRANCES PETTA (NPI# 1417922097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417922097 |
| Entity Type | Individual |
| Full Name | MRS. MARLENE FRANCES PETTA |
| Other Name | MARLENE FRANCES BALE |
| Credential | MSSA ACSW LMSW |
| Practice Address |
380 Crown Mill Dr Martinez GA 30907-9436 |
| Practice Telephone | 7063647954 |
| Practice Fax Number | 7063647954 |
| Mailing Telephone | 7063647954 |
| Mailing Fax Number | 7063647954 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 104100000X | Social Worker | L760944 | MI | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
L760944 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 2152167 | 01 |
| Street Address |
380 CROWN MILL DR |
| City | MARTINEZ |
| State | GA |
| Zip Code | 30907-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770047110 | Alexis Mapel | Social Worker | 2350 Banbury Loop, Martinez, CA 94553-6706 | 2019-01-30 |
| 1467886366 | Timothy Paul Hunt-gibbon | Social Worker | 150 Muir Rd # Sws122, Martinez, CA 94553-4668 | 2013-08-27 |
| 1881942662 | Erica Denise Smith | Social Worker | 404 Bloedel Reserve Way, Martinez, GA 30907-7351 | 2012-08-27 |
| 1396092466 | Julie Eileen Romano | Social Worker | 2025 Estudillo St, Martinez, CA 94553-2627 | 2012-08-08 |
| 1902982630 | Heather Marie Armstrong | Social Worker | 3711 Executive Center Dr, Suite 201, Martinez, GA 30907-0951 | 2006-10-27 |
| 1174045157 | Ashley Lynnette Bonton | Social Worker | 150 Muir Rd, Martinez, CA 94553-4668 | 2017-07-12 |
| 1144692286 | Niteika Lacole Sneed | Social Worker | 3711 Executive Center Dr, Suite 201, Martinez, GA 30907-0951 | 2015-10-28 |
| 1629320072 | Furma Shauntel Begley Allen | Social Worker | 4210 Columbia Rd, Ste 13c, Martinez, GA 30907-0445 | 2012-10-10 |
| 1033434907 | Sue Howell-fafchamps | Social Worker | 3711 Executive Center Dr, Suite 201, Martinez, GA 30907-0951 | 2010-04-02 |
| 1205090701 | Marcy Shaarda | Social Worker | 150 Muir Rd, Martinez, CA 94553-4668 | 2008-07-14 |
| Find all providers in MARTINEZ | ||||
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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.