CREATIVE FAMILY CARE INC. (NPI# 1487149340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487149340 |
| Entity Type | Organization |
| Organization Name | CREATIVE FAMILY CARE INC. |
| Practice Address |
1275 Shiloh Rd Nw Ste 3030 Kennesaw GA 30144 |
| Mailing Address |
1275 Shiloh Rd Nw Ste 3030 Kennesaw GA 30144-7186 |
| Practice Telephone | 4043345859 |
| Mailing Telephone | 4043345859 |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2018-06-24 |
| Authorized Official Name | DR. JACKSON K EDWARDS (DIRECTOR) |
| Authorized Official Telephone | 4043345859 |
| Authorized Official Credential | DMIN., LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW006235 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1275 SHILOH RD NW STE 3030 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| 1811390594 | Lisa Karla Parker | Counselor | 1055 Shiloh Rd Nw, Ste. 311, Kennesaw, GA 30144 | 2014-10-08 |
| Find all providers in zip 30144 | ||||
| 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 |
|---|---|---|---|---|
| 1952911109 | Bianca Cristine Channer | Social Worker | 3735 Cherokee St Nw Ste 903, Kennesaw, GA 30144-2081 | 2020-08-03 |
| 1942825278 | Ginette Alexa Mellman | Social Worker | 1206 Kaylyn Ct Nw, Kennesaw, GA 30152-5498 | 2020-06-12 |
| 1386278463 | Samantha R Decastro | Social Worker | 1005 Kennesaw Springs Dr Nw, Kennesaw, GA 30144-5603 | 2020-02-27 |
| 1790224160 | Houa Lee Lawson | Social Worker | 4067 Willowmere Pointe Nw, Kennesaw, GA 30144-5748 | 2017-02-18 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1386005577 | Kristen Hernandez | Social Worker | 3900 Legacy Park Blvd Nw Ste D100, Kennesaw, GA 30144-7322 | 2016-03-15 |
| 1154727725 | Marie Stone | Social Worker | 1300 Ridenour Blvd Nw Ste 253, Kennesaw, GA 30152-4575 | 2014-11-10 |
| 1528400926 | Progressive Care Associates, Inc. | Social Worker | 3415 Old Highway 41, Suite 750, Kennesaw, GA 30144-1028 | 2013-07-25 |
| 1780966051 | Fountain Gate Life and Wellness, Inc. | Social Worker | 2985 Cherokee St Nw, Kennesaw, GA 30144-2863 | 2011-09-13 |
| 1376852848 | Jill Sebaugh | Social Worker | 4255 Wade Green Rd Nw Ste 414, Kennesaw, GA 30144-1244 | 2010-10-01 |
| Find all providers in KENNESAW | ||||
Please comment or provide details below to improve the information on CREATIVE FAMILY CARE INC..
| 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.