ALAN B KIRK (NPI# 1659650331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659650331 |
| Entity Type | Individual |
| Full Name | ALAN B KIRK |
| Credential | PHD, LCSW |
| Practice Address |
1605 Roberta Dr Sw Marietta GA 30008-3855 |
| Practice Telephone | 7704193120 |
| Practice Fax Number | 7704193121 |
| Mailing Telephone | 7704193120 |
| Mailing Fax Number | 7704193121 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003435 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LCSW LICENSE # | CSW003435 | 01 |
| Street Address |
1605 ROBERTA DR SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30008-3855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710063680 | Peter Wyman | Internal Medicine | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2006-10-31 |
| 1255984324 | Ji Won Park | Dentist | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2019-07-18 |
| 1275015281 | Venetta Diale Belowe Mwengella | Nurse Practitioner | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2018-09-06 |
| 1922503572 | Patricia Guzman | Dental Hygienist | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2018-03-27 |
| 1912458456 | Joel Philip Carpenter | Family Medicine | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2016-10-19 |
| 1578819918 | Laura L. Bayani | Physician Assistant | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2012-08-02 |
| 1326349614 | Marjan Zarif Kirkland | Nurse Practitioner | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2010-11-03 |
| 1881923126 | Good Samaritan Health Center of Cobb | Voluntary or Charitable | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2009-12-16 |
| 1669609442 | Dolly Penn White | Preventive Medicine | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2009-06-18 |
| 1740454875 | Adrienne Nicole Polite | Family Medicine | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740276 | Beta Discount Pharmacy & Health Services, LLC | Pharmacy | 776 Sandtown Rd Sw, Marietta, GA 30008 | 2013-06-19 |
| 1982935607 | Family Home Care, LLC | Respite Care | 1791 Silver Leaf Ct, Marietta, GA 30008 | 2010-01-20 |
| 1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
| 1265657399 | Scott D Warner | Chiropractor | 3201 Austell Rd Sw, Marietta, GA 30008 | 2007-04-16 |
| 1972572642 | Cobb County Board of Health | Public Health or Welfare | 1650 County Services Parkway, Marietta, GA 30008 | 2006-03-15 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1760825905 | Avantika Varma | Family Medicine | 1650 County Services Pkwy Sw Ste 200, Marietta, GA 30008 | 2013-04-08 |
| 1689887663 | Brenda W Wilson | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043423023 | Karen J Carter | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043587330 | Francine Edwards | Speech-Language Pathologist | 3665 Austell Road Sw, Suite 1017, Marietta, GA 30008-0000 | 2011-11-30 |
| Find all providers in zip 30008 | ||||
| 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 |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1659988434 | Jessica Ochei | Social Worker | 2546 Telfair Pl Ne, Marietta, GA 30062-4444 | 2020-09-25 |
| 1760010490 | Christina Patricia Neri | Social Worker | 1803 Tilliewood Trl Ne, Marietta, GA 30066-2968 | 2020-03-30 |
| 1083247787 | Colleen Sandick | Social Worker | 4330 Cornwallis Ct Ne, Marietta, GA 30068-2709 | 2020-02-20 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1528601143 | Angela Caldwell-lawson | Social Worker | 1584 Park Brooke Cir Sw, Marietta, GA 30008-5308 | 2019-10-27 |
| 1093357006 | Katherine Kenreich | Social Worker | 1744 Roswell Rd Ste 215, Marietta, GA 30062-3979 | 2019-10-10 |
| 1841842283 | Essential Matters Counseling & Therapy, LLC | Social Worker | 2453 Powder Springs Rd Sw Ste 225c, Marietta, GA 30064-4570 | 2019-07-16 |
| 1801454731 | Laura Beth Rifkin | Social Worker | 273 Shaded Oaks Ln Se, Marietta, GA 30067-7440 | 2019-06-05 |
| 1952866006 | Marietta Counseling Practice | Social Worker | 142 S Park Sq Ne, Marietta, GA 30060-8616 | 2019-02-03 |
| Find all providers in MARIETTA | ||||
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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.