MRS. MADELINE DIANE CHRESTMAN (NPI# 1992060982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992060982 |
| Entity Type | Individual |
| Full Name | MRS. MADELINE DIANE CHRESTMAN |
| Credential | LCSW |
| Practice Address |
4485 Tench Rd Ste 1220 Suwanee GA 30024-6742 |
| Practice Telephone | 7703786835 |
| Mailing Telephone | 7703786835 |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CSW004747 | GA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | MSW004739 | GA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW004747 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3444 Club Dr, Lawrenceville, GA 300442402 | 7703786835 |
| Street Address |
4485 TENCH RD STE 1220 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-6742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| 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 |
|---|---|---|---|---|
| 1316544323 | Summer Al-majed | Social Worker | 180 Shore Dr, Suwanee, GA 30024-2940 | 2020-10-02 |
| 1255803326 | Elizabeth Bonet | Social Worker | 5940 Masters Club Dr, Suwanee, GA 30024-3424 | 2018-12-29 |
| 1336579952 | Naran E. Butler-houck | Social Worker | 652 Kenridge Way, Suwanee, GA 30024-7269 | 2013-11-18 |
| 1669745691 | Mendi Sandoz | Social Worker | 4383 Hansboro Way, Suwanee, GA 30024-8734 | 2012-02-22 |
| 1285922773 | Tina Marie Niziurski | Social Worker | 3660 Lake Pass Ln, Suwanee, GA 30024-8457 | 2011-07-18 |
| 1679743629 | Charlotte Anne Reaves | Social Worker | 4565 Settles Bridge Rd, Suwanee, GA 30024-1983 | 2008-03-06 |
| 1730237850 | Crystal Raequel Anderson | Social Worker | 3465 Lawrenceville Suwanee Rd Ste C, Suwanee, GA 30024-7467 | 2007-01-08 |
| 1699790956 | Olivia S. Beauchain | Social Worker | 898 Scales Rd, Suwanee, GA 30024-1830 | 2006-07-13 |
| 1215548136 | Santo Presti Cricchio | Social Worker | 4411 Suwanee Dam Rd Ste 720, Suwanee, GA 30024-8708 | 2020-08-13 |
| 1912463977 | Meeting of The Minds Therapeutic Services and Consulting, LLC | Social Worker | 652 Kenridge Way, Suwanee, GA 30024-7269 | 2019-02-14 |
| Find all providers in SUWANEE | ||||
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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.