MS. KERYN JOHNSON BENASULY (NPI# 1649772872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649772872 |
| Entity Type | Individual |
| Full Name | MS. KERYN JOHNSON BENASULY |
| Credential | LCSW |
| Practice Address |
2000 Riverside Pkwy Ste 107 Lawrenceville GA 30043-5926 |
| Mailing Address |
Bridgeway Hospice 2000 Riverside Pkwy Suite 107 Lawrenceville GA 30043 |
| Practice Telephone | 6788783215 |
| Practice Fax Number | 6788783341 |
| Mailing Telephone | 6788783215 |
| Mailing Fax Number | 6788783341 |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2018-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW006320 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2000 RIVERSIDE PKWY STE 107 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609081801 | Jaami Lynn Mcclellan Rutledge | Registered Nurse | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2007-05-11 |
| 1356983928 | Brittany Walker | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2019-10-15 |
| 1760975619 | Joann Melinda Brown | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2018-06-14 |
| 1942791108 | Susan Allison Pellettieri | Social Worker | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2018-05-23 |
| 1689182784 | Kristin Leigh Bennett | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2018-01-11 |
| 1013431766 | Maafia A Osei-cheremeh | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2017-08-02 |
| 1235669045 | Sb Healthcare, LLC | Internal Medicine | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2017-06-14 |
| 1275972978 | Andrea Elaine Ricketts | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| 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 |
|---|---|---|---|---|
| 1629676333 | Christiana Oluwatoyin Sonuga | Social Worker | 699 Clairidge Elm Trl, Lawrenceville, GA 30046-7753 | 2020-10-14 |
| 1093324550 | Tanesha Richards | Social Worker | 3035 Dunlin Lake Way, Lawrenceville, GA 30044-3586 | 2020-07-30 |
| 1457984346 | Karen Starks | Social Worker | 1173 Grassy Oat Ln, Lawrenceville, GA 30045-5496 | 2020-02-19 |
| 1932741634 | Tonia Mechelle Dalton | Social Worker | 1980 Bethwick Ct, Lawrenceville, GA 30044-6105 | 2019-10-14 |
| 1689224404 | Life Affirming Counseling Services LLC | Social Worker | 1585 Old Norcross Rd Ste B, Lawrenceville, GA 30046-4055 | 2019-09-13 |
| 1730662727 | Kyeda L King | Social Worker | 1405 Little Hampton Dr, Lawrenceville, GA 30045-3553 | 2018-09-14 |
| 1184107831 | Melanie Kim Proctor | Social Worker | 325 Merritt Dr, Lawrenceville, GA 30044-4597 | 2018-09-10 |
| 1083194369 | Brianna Lloyd | Social Worker | 1504 Overview Cir, Lawrenceville, GA 30044-6259 | 2018-08-16 |
| 1528512936 | Maxine Carelock | Social Worker | 1960 Hollywood Dr, Lawrenceville, GA 30044-3813 | 2016-08-15 |
| 1457727190 | Andrea Moody | Social Worker | 743 Winer Industrial Way, Lawrenceville, GA 30046-4348 | 2015-08-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on MS. KERYN JOHNSON BENASULY.
| 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.