STACIE BETHEA (NPI# 1134521180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134521180 |
| Entity Type | Individual |
| Full Name | STACIE BETHEA |
| Credential | MSW |
| Practice Address |
2001 Martin Luther King Jr Dr Sw Suite 409 Atlanta GA 30310-1101 |
| Mailing Address |
184 Willow Springs Ln Stockbridge GA 30281-6228 |
| Practice Telephone | 4045646486 |
| Practice Fax Number | 4045646487 |
| Mailing Telephone | 9178485567 |
| Mailing Fax Number | 4045646487 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | GA | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
GA | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
GA | Behavioral Health & Social Service Providers | |
| Y | 104100000X | Social Worker | GA | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
GA | Behavioral Health & Social Service Providers |
| Street Address |
2001 MARTIN LUTHER KING JR DR SW SUITE 409 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30310-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386637 | Walter Berosky Atkins | Podiatrist | 2001 Martin Luther King Jr Dr Sw, Ste 300, Atlanta, GA 30310-5801 | 2005-06-16 |
| 1356959407 | 2 Nextlevel Consulting, LLC | Counselor | 2001 Martin Luther King Jr Dr Sw, Atlanta, GA 30310-1101 | 2020-07-15 |
| 1598373656 | Premier Comprehensive Services, LLC | Counselor | 2001 Martin Luther King Jr Dr Sw, Atlanta, GA 30310-1101 | 2020-07-15 |
| 1679111454 | Pre Wellness Care Atlanta | Clinic/Center | 2001 Martin Luther King Jr Dr Sw, Atlanta, GA 30310-1101 | 2019-12-12 |
| 1578090601 | Agape Community Integrated Health Systems, Inc. | Counselor | 2001 Martin Luther King Jr Dr Sw, Suite 420, Atlanta, GA 30310-1101 | 2017-05-19 |
| 1497299804 | Moore Consulting Counseling Group | Social Worker | 2001 Martin Luther King Jr Dr Sw, Suite 409, Atlanta, GA 30310-1101 | 2016-12-05 |
| 1093169211 | Beatrice C Obiekwe | Registered Nurse | 2001 Martin Luther King Jr Dr Sw, Suite 409, Atlanta, GA 30310-1101 | 2016-04-14 |
| 1871967208 | Nancy Adiri | Registered Nurse | 2001 Martin Luther King Jr Dr Sw, Suite 409, Atlanta, GA 30310-1101 | 2015-11-23 |
| 1306215777 | Krishna Clanton | Counselor | 2001 Martin Luther King Jr Dr Sw, Suite 540, Atlanta, GA 30310-1101 | 2015-09-16 |
| 1083001796 | T2s Enterprises, LLC | Clinic/Center | 2001 Martin Luther King Jr Dr Sw, Suite 540, Atlanta, GA 30310-1101 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775208 | Naesm Mens Health and Wellness Center | Clinic/Center | 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 | 2019-08-14 |
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1629636683 | Manan Shah | Student in an Organized Health Care Education/Training Program | 720 Westview Dr, Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-06-04 |
| 1780242420 | Fortunate Amarachukwu Ejimone | Student in an Organized Health Care Education/Training Program | 720 Westview Dr. Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-05-29 |
| 1922589589 | Bria Campbell | Counselor | 1009 Windsor St Sw, Atlanta, GA 30310 | 2018-08-22 |
| 1821583584 | Onyedikachi Kenneth Michaels | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-06-26 |
| 1881185387 | Precious Oghenefejiro Odunvbun | Student in an Organized Health Care Education/Training Program | 720 West View Dr Sw Morehouse School of Medicine/gme, Department of Medicine, Atlanta, GA 30310 | 2018-05-21 |
| 1598253908 | Chinonyelum Doris Nwagbara | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine, Gme 720 Westview Drive Sw, Atlanta, GA 30310 | 2018-05-01 |
| 1679060552 | Danielle Nicole Oliver | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 | 2018-04-17 |
| 1376049072 | Ngozi Egondu Okanu | Student in an Organized Health Care Education/Training Program | Gme 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-04-02 |
| Find all providers in zip 30310 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981510 | Shellie Bigelow | Social Worker | 341 Ponce De Leon Ave Ne Ste 212, Atlanta, GA 30308-2012 | 2020-10-29 |
| 1184224081 | Lisa A Curtin | Social Worker | 341 Ponce De Leon Ave Ne Ste 219, Atlanta, GA 30308-2012 | 2020-10-29 |
| 1700492253 | Zachard Roberson | Social Worker | 960 E Paces Ferry Rd Ne Apt 246, Atlanta, GA 30326-2847 | 2020-09-21 |
| 1114539764 | Kiana Rosella Green | Social Worker | 830 Glenwood Ave Se Ste 510-332, Atlanta, GA 30316-1966 | 2020-08-17 |
| 1871118042 | Mayra Samantha Alonzo | Social Worker | 2539 Village Creek Lndg Se, Atlanta, GA 30316-3278 | 2020-06-12 |
| 1144840539 | Tonetta M Collins | Social Worker | 1900 The Exchange, Bldg 100, Suite 180, Atlanta, GA 30339-3033 | 2020-04-25 |
| 1760018550 | Iman Pearline Pew | Social Worker | 500 Northside Cir Nw Apt Kk6, Atlanta, GA 30309-2120 | 2020-03-12 |
| 1942868047 | Paigean Jones | Social Worker | 450 Westmeath Dr Sw, Atlanta, GA 30310-1534 | 2019-06-03 |
| 1790248771 | Jeronia Bowden | Social Worker | 794 Tift Ave Sw, Atlanta, GA 30310-2834 | 2019-04-08 |
| 1275095788 | Shanelle Lynn High | Social Worker | 878 Rock St Nw, Atlanta, GA 30314-3377 | 2019-04-03 |
| Find all providers in ATLANTA | ||||
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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.