SOUTH MENTAL HEALTH (NPI# 1780823062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780823062 |
| Entity Type | Organization |
| Organization Name | SOUTH MENTAL HEALTH |
| Practice Address |
1636 Connally Dr East Point GA 30344-2558 |
| Mailing Address |
115 Martin Luther King Jr Dr Sw Ste 277 Atlanta GA 30303-3553 |
| Practice Telephone | 4047624042 |
| Practice Fax Number | 4047623626 |
| Mailing Telephone | 4047300230 |
| Mailing Fax Number | 4047300341 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | BARBARA J LATTIMORE (DIRECTOR) |
| Authorized Official Telephone | 4047300249 |
| Authorized Official Credential | PHD, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003394 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1636 CONNALLY DR |
| City | EAST POINT |
| State | GA |
| Zip Code | 30344-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821003559 | Kathleen Mary Moran Kretschmann | Registered Nurse | 1636 Connally Dr, East Point, GA 30344-2558 | 2006-07-30 |
| 1912297839 | Dannielle J Smith | Counselor | 1636 Connally Dr, East Point, GA 30344-2558 | 2011-04-12 |
| 1538332200 | Karen Elizabeth Demski | Counselor | 1636 Connally Dr, East Point, GA 30344-2558 | 2008-04-02 |
| 1285850404 | Sonia J Rochester | Registered Nurse | 1636 Connally Dr, East Point, GA 30344-2558 | 2007-04-17 |
| 1861568271 | Fulton County Mhddad | Community/Behavioral Health | 1636 Connally Dr, East Point, GA 30344-2558 | 2006-11-28 |
| 1972692796 | Vickie M Jester | Social Worker | 1636 Connally Dr, East Point, GA 30344-2558 | 2006-10-12 |
| 1114016029 | Harriet Mcneil-bush | Registered Nurse | 1636 Connally Dr, East Point, GA 30344-2558 | 2006-10-11 |
| 1235233479 | Betty B Williams | Counselor | 1636 Connally Dr, East Point, GA 30344-2558 | 2006-09-08 |
| 1285641431 | Yolanda J Gaines | Counselor | 1636 Connally Dr, East Point, GA 30344-2558 | 2006-08-01 |
| 1013922764 | Rowana E Noresias | Licensed Practical Nurse | 1636 Connally Dr, East Point, GA 30344-2558 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
| 1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
| 1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
| 1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
| 1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
| 1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
| 1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
| 1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
| Find all providers in zip 30344 | ||||
| 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 |
|---|---|---|---|---|
| 1851668545 | Wyeuca Byrd Johnson | Social Worker | 3009 Green Valley Dr, East Point, GA 30344-3911 | 2011-11-22 |
| 1386945269 | Larry Wayne Brown | Social Worker | 1911 Thompson Ave, East Point, GA 30344-6837 | 2010-11-09 |
| 1427222041 | Phyllis Jackson-smith | Social Worker | 2995 Meadow Lark Dr, East Point, GA 30344-4033 | 2008-04-15 |
| 1841402575 | Dorothy Jean Mingo | Social Worker | 3401 Norman Berry Dr, Suite 254, East Point, GA 30344-5121 | 2007-05-04 |
| 1699868117 | Georgia Rehabilitation Outreach | Social Worker | 1777 Washington Road, East Point, GA 30344 | 2006-10-02 |
| 1669859419 | Melinda Morgan | Social Worker | 1513 Cleveland Ave, Suite 500, East Point, GA 30344-6947 | 2015-04-30 |
| 1770911661 | Scott Allen Hayes | Social Worker | 2675 N Martin St, Building 700, Suite A, East Point, GA 30344-6981 | 2013-10-31 |
| 1114269636 | Your Journey, Your Path LLC | Social Worker | 3401 Norman Berry Dr, East Point, GA 30344-5121 | 2013-03-22 |
| 1023240983 | Michael Alexander Brittain | Social Worker | 2675 N Martin St, Building 700, Suite A, East Point, GA 30344-6981 | 2009-08-11 |
| 1720107188 | Carlo Tadeo Domingo | Social Worker | 1513 Cleveland Ave, Building 300, East Point, GA 30344-6947 | 2007-03-28 |
| Find all providers in EAST POINT | ||||
| City | EAST POINT |
| Zip Code | 30344 |
Please comment or provide details below to improve the information on SOUTH MENTAL HEALTH.
| 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.