KEVIN THRAILKILL (NPI# 1760884357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760884357 |
| Entity Type | Individual |
| Full Name | KEVIN THRAILKILL |
| Credential | LCSW |
| Practice Address |
244 Forest Glen Cir Avondale Estates GA 30002-1204 |
| Mailing Address |
1670 Clairmont Rd Decatur GA 30033-4004 |
| Practice Telephone | 7207468763 |
| Mailing Telephone | 4044171540 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW005231 | GA | Behavioral Health & Social Service Providers |
| Street Address |
244 FOREST GLEN CIR |
| City | AVONDALE ESTATES |
| State | GA |
| Zip Code | 30002-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891273561 | Barbara S. Fisher | Psychologist | 541 Stratford Green, Auordale Est, GA 30002 | 2018-08-03 |
| 1992210587 | Firefly Wellness Counseling, LLC | Counselor | 151 Locust St, Avondale Estates, GA 30002 | 2017-12-05 |
| 1528310455 | Katherine Alberta Brown | Social Worker | 151 Locust St, Avondale Estates, GA 30002 | 2012-10-02 |
| 1194009811 | Anne Rice | Counselor | 151 Locust St, Avondale Estates, GA 30002 | 2011-09-29 |
| 1033499884 | Lauren Shemain | Social Worker | 151 Locust St, Avondale Estates, GA 30002-1050 | 2011-08-25 |
| 1063034643 | Generational Resources LLC | Clinic/Center | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-05-17 |
| 1508492893 | Charles Joseph Westbrook | Counselor | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-03-18 |
| 1477193068 | Bee Good Wellness and Consulting Services | Clinic/Center | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-01-10 |
| 1477193050 | Vivian Daniel Counseling LLC | Clinic/Center | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-01-10 |
| 1003455338 | Vivian Daniel | Counselor | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-01-03 |
| Find all providers in zip 30002 | ||||
| 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 |
|---|---|---|---|---|
| 1548304991 | Meredith Lisa Albert | Social Worker | 3164 Kensington Rd, Avondale Estates, GA 30002-1456 | 2007-02-19 |
| 1528310455 | Katherine Alberta Brown | Social Worker | 151 Locust St, Avondale Estates, GA 30002 | 2012-10-02 |
| 1144524331 | Resolve Psychotherapy, LLC | Social Worker | 3164 Kensington Rd, Avondale Estates, GA 30002-1456 | 2011-01-02 |
| 1952445306 | Amy Lynne Stern | Social Worker | 3164 Kensington Rd, Avondale Estates, GA 30002-1456 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487782 | Lora Christi Dukes | Social Worker | 612 Kenwood Dr, Waycross, GA 31501-6904 | 2020-11-05 |
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1326647629 | Sheba Phillips | Social Worker | 2402 Orlando Dr, Valdosta, GA 31602-1921 | 2020-10-19 |
| 1144829482 | Jennifer M Sublett | Social Worker | 1721 Sterling Cir, Cairo, GA 39828-4501 | 2020-10-19 |
| 1023617495 | Anita S White | Social Worker | 981 Cleveland Ave, Atlanta, GA 30344-6717 | 2020-10-18 |
| 1700484102 | Nicole Elisabeth Kohl | Social Worker | 70 Sunbury Ct, Richmond Hill, GA 31324-9621 | 2020-10-16 |
| 1629676333 | Christiana Oluwatoyin Sonuga | Social Worker | 699 Clairidge Elm Trl, Lawrenceville, GA 30046-7753 | 2020-10-14 |
| 1407454663 | Danielle Deane | Social Worker | 1655 Grayson Hwy Apt 6307, Grayson, GA 30017-1133 | 2020-10-10 |
| 1306443304 | Holly Stuckey | Social Worker | 5748 Pine Oak Dr, Norcross, GA 30092-3508 | 2020-10-04 |
| 1316544323 | Summer Al-majed | Social Worker | 180 Shore Dr, Suwanee, GA 30024-2940 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | AVONDALE ESTATES |
| Zip Code | 30002 |
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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.