KELLY COLLIER (NPI# 1083114680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083114680 |
| Entity Type | Individual |
| Full Name | KELLY COLLIER |
| Credential | LCSW |
| Practice Address |
1330 Concord Rd Se Ste 104 Smyrna GA 30080-4373 |
| Mailing Address |
4921 Martin Farms Dr Powder Springs GA 30127-8429 |
| Practice Telephone | 7703156641 |
| Mailing Telephone | 7703156641 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW006308 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583873 | Kelly Collier | Home Health | 1905 N Monroe St, Bloomington, IN 47404-2141 | 2020-03-18 |
| 1225488539 | Kelly Collier | Developmental Therapist | 1859 Galway Dr, Belleville, IL 62221-8001 | 2016-06-16 |
| 1700886595 | Kelly Collier | Physician Assistant | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2005-07-22 |
| 1982990305 | Kelly R Collier | Physical Therapist | 2240 5th Ave, Huntington, WV 25703-1290 | 2011-06-23 |
| 1396935664 | Kelly Collier | Occupational Therapist | 1238 E Chandler Blvd, Suite 103, Phoenix, AZ 85048-4601 | 2007-08-01 |
| Street Address |
1330 CONCORD RD SE STE 104 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829316 | Carolyn Gensler | Counselor | 1330 Concord Rd Se Ste 104, Smyrna, GA 30080-4373 | 2019-12-31 |
| 1750920393 | Kristen Faircloth | Counselor | 1330 Concord Rd Se Ste 104, Smyrna, GA 30080-4373 | 2019-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| 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 |
|---|---|---|---|---|
| 1376198457 | Mind's Matter, LLC | Social Worker | 314 Greens Branch Ln, Smyrna, DE 19977-1021 | 2019-08-06 |
| 1942864178 | Alisha K Mccanney | Social Worker | 19 Ormonde Cir, Smyrna, DE 19977-4024 | 2019-04-23 |
| 1912473257 | Lindsey Johnson | Social Worker | 53 Rumson Ct Se, Smyrna, GA 30080-8006 | 2018-10-14 |
| 1093213514 | Jami Hanneman | Social Worker | 2142 W Village Ln Se, Smyrna, GA 30080-9254 | 2018-01-30 |
| 1033626593 | Empower Therapy Solutions, Inc | Social Worker | 10543 Cedar Grove Rd Ste 140, Smyrna, TN 37167-6525 | 2018-01-05 |
| 1992210900 | Benjamin Addison | Social Worker | 3439 Dunn St Se, Smyrna, GA 30080-7928 | 2017-12-13 |
| 1336678002 | Tonya Vinson | Social Worker | 1254 Concord Rd Se # 105, Smyrna, GA 30080-4371 | 2017-06-07 |
| 1437502762 | James Glenn Hammons | Social Worker | 4110 Kalb Ct Sw, Smyrna, GA 30082-4446 | 2016-07-21 |
| 1467827014 | Tiffany Jones | Social Worker | 1405 Tibarron Pkwy Se, Smyrna, GA 30080-7263 | 2015-12-08 |
| 1902277601 | Shayla Finley Snipes | Social Worker | 3372 Hunters Point Rd Se, Smyrna, GA 30082-2438 | 2015-10-07 |
| Find all providers in SMYRNA | ||||
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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.