MELANIE KIM PROCTOR (NPI# 1184107831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184107831 |
| Entity Type | Individual |
| Full Name | MELANIE KIM PROCTOR |
| Credential | LMSW |
| Practice Address |
325 Merritt Dr Lawrenceville GA 30044-4597 |
| Practice Telephone | 7702771016 |
| Mailing Telephone | 7702771016 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MSW007428 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265724496 | Melanie Kay Proctor | Pharmacist | 14301 Martin Dr Apt 518, Eden Prairie, MN 55344-3019 | 2011-05-05 |
| Street Address |
325 MERRITT DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-4597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| 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 |
|---|---|---|---|---|
| 1629676333 | Christiana Oluwatoyin Sonuga | Social Worker | 699 Clairidge Elm Trl, Lawrenceville, GA 30046-7753 | 2020-10-14 |
| 1093324550 | Tanesha Richards | Social Worker | 3035 Dunlin Lake Way, Lawrenceville, GA 30044-3586 | 2020-07-30 |
| 1457984346 | Karen Starks | Social Worker | 1173 Grassy Oat Ln, Lawrenceville, GA 30045-5496 | 2020-02-19 |
| 1932741634 | Tonia Mechelle Dalton | Social Worker | 1980 Bethwick Ct, Lawrenceville, GA 30044-6105 | 2019-10-14 |
| 1689224404 | Life Affirming Counseling Services LLC | Social Worker | 1585 Old Norcross Rd Ste B, Lawrenceville, GA 30046-4055 | 2019-09-13 |
| 1730662727 | Kyeda L King | Social Worker | 1405 Little Hampton Dr, Lawrenceville, GA 30045-3553 | 2018-09-14 |
| 1083194369 | Brianna Lloyd | Social Worker | 1504 Overview Cir, Lawrenceville, GA 30044-6259 | 2018-08-16 |
| 1528512936 | Maxine Carelock | Social Worker | 1960 Hollywood Dr, Lawrenceville, GA 30044-3813 | 2016-08-15 |
| 1457727190 | Andrea Moody | Social Worker | 743 Winer Industrial Way, Lawrenceville, GA 30046-4348 | 2015-08-17 |
| 1598141673 | Your Journey To Finding Peace | Social Worker | 1585 Old Norcross Rd Ste 201f, Lawrenceville, GA 30046-4043 | 2015-07-30 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
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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.