MRS. LORRAINE JACONNA PUGH (NPI# 1356699060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356699060 |
| Entity Type | Individual |
| Full Name | MRS. LORRAINE JACONNA PUGH |
| Credential | LCSW |
| Practice Address |
Building 40701 41st Street Fort Gordon GA 30905 |
| Practice Telephone | 7067873656 |
| Practice Fax Number | 7067878180 |
| Mailing Telephone | 7067873656 |
| Mailing Fax Number | 7067878180 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C007860 | NC | Behavioral Health & Social Service Providers |
| Street Address |
BUILDING 40701 41ST STREET |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| 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 |
|---|---|---|---|---|
| 1730393406 | Gloria T Byrd | Social Worker | 254 41st St Bldg 40709, Fort Gordon, GA 30905-5918 | 2007-05-10 |
| 1235291691 | Gail Denise Bennett | Social Worker | Ddeamc 300 E Hospital Road 13a-10, Bldg. 40701, Fort Gordon, GA 30905 | 2006-12-14 |
| 1700953411 | Joseph Andre Alphonse Fournier | Social Worker | 41st Street, Building 40709, Room 111, Fort Gordon, GA 30905 | 2006-11-29 |
| 1760492060 | Shelley Nicole Carter | Social Worker | 300 E Hospital Rd, Bldg 300, Fort Gordon, GA 30905-5650 | 2006-08-09 |
| 1689697161 | William Lopez | Social Worker | 300 E. Hospital Raod, Fort Gordon, GA 30905-5650 | 2006-07-25 |
| 1275587412 | Marianne S. Valladares | Social Worker | 300 East Hospital Rd., Fort Gordon, GA 30905-5650 | 2006-05-20 |
| 1790759207 | Tena Marie Buffington | Social Worker | 300 W Hospital Rd Bldg 300, 6th Floor Interdisciplinary Pain Management, Fort Gordon, GA 30905-5741 | 2006-02-14 |
| 1083613665 | Joseph Melton Bird | Social Worker | 300 East Hospital Road, Room 13a-10, Fort Gordon, GA 30905-5650 | 2005-07-18 |
| 1174979504 | Denice Davoyne Jones | Social Worker | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2016-05-04 |
| 1821458720 | Natalia R. Rivera | Social Worker | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2016-03-04 |
| Find all providers in FORT GORDON | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
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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.