DR. SHERJUANA DAVIS (NPI# 1689282220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689282220 |
| Entity Type | Individual |
| Full Name | DR. SHERJUANA DAVIS |
| Credential | PHD |
| Practice Address |
122 Gordon Commercial Dr Ste C Lagrange GA 30240-5754 |
| Practice Telephone | 7068454045 |
| Mailing Telephone | 7068454045 |
| Mailing Fax Number | 7068454367 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MSW009358 | GA | Behavioral Health & Social Service Providers |
| Street Address |
122 GORDON COMMERCIAL DR STE C |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083938492 | Melissa Ann Johnson | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2010-03-15 |
| 1821636846 | Katie Kinsey | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-20 |
| 1104464296 | Christopher Blake Glaze | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-19 |
| 1134767361 | Forrest Johnson | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-18 |
| 1033755475 | Zenetta Michelle Harris | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-11-20 |
| 1760023915 | Mariana Garcia | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-30 |
| 1134770274 | Jennie Laplant | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-20 |
| 1427608652 | Robin Wilson | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-19 |
| 1912555103 | Sophia Vaughn | Contractor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-08-30 |
| 1992352173 | Joann Hawkins | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| 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 |
|---|---|---|---|---|
| 1518500826 | Camille Horne | Social Worker | 112 Gordon Commercial Dr Bldg C, Lagrange, GA 30240-5707 | 2019-10-21 |
| 1245588359 | Bremeka Gilbert | Social Worker | 2233 W Point Rd, Lagrange, GA 30240-4061 | 2012-08-21 |
| 1053560748 | Marla Michele Osborne | Social Worker | 122 Gordon Commercial Dr Ste A, Lagrange, GA 30240-5754 | 2008-09-17 |
| 1154449817 | Vistula Park Preschool, Inc. | Social Worker | 603 N Townline Rd, Lagrange, IN 46761-1136 | 2007-03-27 |
| 1780793372 | Thomas A Gardner | Social Worker | 230 Yager Ave Ste 5, Lagrange, KY 40031-1060 | 2006-08-29 |
| 1134112311 | Debbie Dibauda | Social Worker | 202 Village Dr, Lagrange, GA 30240-8831 | 2005-08-24 |
| 1891314175 | Jennifer Harper | Social Worker | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2020-04-16 |
| 1124685367 | Kathleen Gordon | Social Worker | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-05-23 |
| 1063992154 | Annthony M Duffey | Social Worker | 200 N Lewis St, Lagrange, GA 30240-2738 | 2018-08-17 |
| 1831636679 | Elizabeth M Labuzienski | Social Worker | 836 N Detroit St, Lagrange, IN 46761-1112 | 2017-01-31 |
| Find all providers in LAGRANGE | ||||
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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.