JEAN GOLDTHWAIT LCSW (NPI# 1891250718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891250718 |
| Entity Type | Organization |
| Organization Name | JEAN GOLDTHWAIT LCSW |
| Practice Address |
9390 Ford Ave Richmond Hill GA 31324-6421 |
| Mailing Address |
755 Belle Island Rd Richmond Hill GA 31324-6026 |
| Practice Telephone | 3157440765 |
| Practice Fax Number | 9124454955 |
| Mailing Telephone | 3157440765 |
| Mailing Fax Number | 9124554955 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | JEAN MARIE GOLDTHWAIT (OWNER) |
| Authorized Official Telephone | 3157440765 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
9390 FORD AVE |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324-6421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366547903 | Francisco Antonio Dueno | Obstetrics & Gynecology | 9390 Ford Ave, Suite 4, Richmond Hill, GA 31324-6421 | 2006-09-14 |
| 1700216058 | Lamanica Vinson | Counselor | 9390 Ford Ave, Suite 7b, Richmond Hill, GA 31324-6421 | 2013-11-23 |
| 1578861654 | Lawrence Ndubuisi Ejindu | Pharmacist | 9390 Ford Ave, Suite 16, Richmond Hill, GA 31324-6421 | 2011-03-14 |
| 1922244284 | Christopher Weatherly | Case Manager/Care Coordinator | 9390 Ford Ave, Suite 10, Richmond Hill, GA 31324-6421 | 2008-12-16 |
| 1558511949 | Gloria Roberson | Social Worker | 9390 Ford Ave, Richmond Hill, GA 31324-6421 | 2008-09-23 |
| 1437309986 | Carolyn Smith | Social Worker | 9390 Ford Ave, Richmond Hill, GA 31324-6421 | 2008-09-22 |
| 1346490893 | Joseph Smith | Social Worker | 9390 Ford Ave, Richmond Hill, GA 31324-6421 | 2008-09-22 |
| 1912157447 | Larhonda Jenkins | Social Worker | 9390 Ford Ave, Richmond Hill, GA 31324-6421 | 2008-09-20 |
| 1467602995 | Avia Kemp | Social Worker | 9390 Ford Ave, Richmond Hill, GA 31324-6421 | 2008-09-20 |
| 1407024557 | Southside Ob/gyn, P.C. | Obstetrics & Gynecology | 9390 Ford Ave, Suite 4, Richmond Hill, GA 31324-6421 | 2008-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
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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.