MR. SEAN MICHAEL REILLY (NPI# 1912375817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912375817 |
| Entity Type | Individual |
| Full Name | MR. SEAN MICHAEL REILLY |
| Credential | L.C.S.W. |
| Practice Address |
1815 Old 41 Hwy Nw Suite 110 Kennesaw GA 30152 |
| Practice Telephone | 6784689103 |
| Mailing Telephone | 6784689103 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW006739 | GA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000006235 | TN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW11749 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497785596 | Sean M Reilly | Physician Assistant | 75-170 Hualalai Rd, Ste C-110, Kailua Kona, HI 96740-1741 | 2006-07-04 |
| 1255953055 | Sean Reilly | Pharmacist | 106 Bow St, Elkton, MD 21921-5544 | 2020-05-14 |
| 1720607815 | Sean Patrick Reilly | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 301, Philadelphia, PA 19107-4405 | 2020-04-09 |
| 1346595287 | Sean Patrick Reilly | Pharmacist | 1504 Taub Loop, Pharmacy Administration, Houston, TX 77030-1608 | 2012-07-17 |
| 1386950418 | Sean Michael Reilly | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2010-08-26 |
| 1306819107 | Sean Clark Reilly | Internal Medicine | 6900 Georgia Ave Nw, Critical Care Medicine, Dept. of Medicine, Washington, DC 20307-0003 | 2006-02-10 |
| Street Address |
1815 OLD 41 HWY NW SUITE 110 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285702779 | Alfred Ball Carter Iv | Counselor | 1815 Old 41 Hwy Nw, Suite 110, Kennesaw, GA 30152-4420 | 2006-12-01 |
| 1821523531 | Lindsay Nicole Ayers | Counselor | 1815 Old 41 Hwy Nw, Suite 110, Kennesaw, GA 30152-4420 | 2017-05-01 |
| 1689088916 | Drenda Denise Rountree | Counselor | 1815 Old 41 Hwy Nw, Suite 110, Kennesaw, GA 30152-4420 | 2014-06-14 |
| 1548699515 | Jason Gabriel | Counselor | 1815 Old 41 Hwy Nw, 110, Kennesaw, GA 30152-4420 | 2013-11-11 |
| 1154758662 | Redeeming Health, LLC | Chiropractor | 1815 Old 41 Hwy Nw, Suite 370, Kennesaw, GA 30152-4420 | 2013-09-28 |
| 1407280456 | Tanya L Gustafson | Marriage & Family Therapist | 1815 Old 41 Hwy Nw, Suite 110, Kennesaw, GA 30152-4420 | 2013-08-27 |
| 1801136205 | Mark Andrew Jones | Chiropractor | 1815 Old 41 Hwy Nw, Suite 370, Kennesaw, GA 30152-4420 | 2013-02-21 |
| 1356582019 | Tiffany Anne Hodges | Psychologist | 1815 Old 41 Hwy Nw, Suite 110, Kennesaw, GA 30152-4420 | 2009-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| 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 |
|---|---|---|---|---|
| 1952911109 | Bianca Cristine Channer | Social Worker | 3735 Cherokee St Nw Ste 903, Kennesaw, GA 30144-2081 | 2020-08-03 |
| 1942825278 | Ginette Alexa Mellman | Social Worker | 1206 Kaylyn Ct Nw, Kennesaw, GA 30152-5498 | 2020-06-12 |
| 1386278463 | Samantha R Decastro | Social Worker | 1005 Kennesaw Springs Dr Nw, Kennesaw, GA 30144-5603 | 2020-02-27 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1790224160 | Houa Lee Lawson | Social Worker | 4067 Willowmere Pointe Nw, Kennesaw, GA 30144-5748 | 2017-02-18 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1386005577 | Kristen Hernandez | Social Worker | 3900 Legacy Park Blvd Nw Ste D100, Kennesaw, GA 30144-7322 | 2016-03-15 |
| 1154727725 | Marie Stone | Social Worker | 1300 Ridenour Blvd Nw Ste 253, Kennesaw, GA 30152-4575 | 2014-11-10 |
| 1528400926 | Progressive Care Associates, Inc. | Social Worker | 3415 Old Highway 41, Suite 750, Kennesaw, GA 30144-1028 | 2013-07-25 |
| 1780966051 | Fountain Gate Life and Wellness, Inc. | Social Worker | 2985 Cherokee St Nw, Kennesaw, GA 30144-2863 | 2011-09-13 |
| Find all providers in KENNESAW | ||||
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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.