CHARDONNAY PATTERSON


Address: 3629 Occidental Ct, Decatur, GA 30034-5502
Phone: 7577780986

CHARDONNAY PATTERSON (NPI# 1386107811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386107811
Entity Type Individual
Full Name CHARDONNAY PATTERSON
Credential MSW
Practice Address 3629 Occidental Ct
Decatur
GA 30034-5502
Practice Telephone 7577780986
Enumeration Date 2019-04-11
Last Update Date 2019-04-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 42951225 05

Office Location

Street Address 3629 OCCIDENTAL CT
City DECATUR
State GA
Zip Code 30034-5502

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1801351994 Anthony E. Parrish, D.d.s., PC Dentist 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 2019-02-04
1164916813 Lenina O Chi-ukpai Nurse Practitioner 2942 Secretariat Ct, Decatur, GA 30034 2018-06-17
1154662765 Zackery Kanel Thomas Driver 2782 Green Marsh Court, Decatur, GA 30034 2013-03-06
1033472642 Lakeba Hibbler Williams Counselor 4147 Flat Shoals Pkwy, Decatur, GA 30034 2012-06-19
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1699096172 Wanda P Garrett Social Worker 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 2010-06-18
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386276467 Aweh Support Social Worker 3498 Brycewood Dr, Decatur, GA 30034-6264 2020-02-06
1992342638 Kuyom R Davenport Social Worker 2459 Candler Rd, Decatur, GA 30032-6400 2019-12-02
1093284291 Eliza Segell Social Worker 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 2018-11-16
1801393103 Albert Leon Phillips Jr. Social Worker 2741 Glenvalley Dr, Decatur, GA 30032-4207 2018-04-12
1578091013 Giovanna Farnum Social Worker 440 Winn Way Fl 3, Decatur, GA 30030-1715 2017-05-29
1124562475 Catherine Berry Moon Social Worker 317 W Hill St Ste 203b, Decatur, GA 30030 2016-12-06
1871047720 Breanna Kelly Social Worker 4026 Birchwood Cv, Decatur, GA 30034-5251 2016-08-09
1053791335 Sherri Cohen Social Worker 255 Grant St Se, Ste 303, Decatur, AL 35601-2505 2015-06-02
1669875423 Tigilayo Fadahunsi Social Worker 10301 Jefferson Square Ct, Decatur, GA 30030-1740 2014-10-07
1255733028 Cherissa Mcconnell Social Worker 407 Park West Ct, Decatur, TX 76234-3264 2014-09-23
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Competitor

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City DECATUR
Zip Code 30034

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Dataset Information

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.

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