MARCIA CAPSHAW (NPI# 1518029370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518029370 |
| Entity Type | Individual |
| Full Name | MARCIA CAPSHAW |
| Credential | LCSW |
| Practice Address |
122 Gordon Commercial Dr Suite D Lagrange GA 30240-5754 |
| Practice Telephone | 7068454045 |
| Practice Fax Number | 7068454312 |
| Mailing Telephone | 7068454045 |
| Mailing Fax Number | 7068454312 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW001489 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | CSW001489 | 01 |
| Street Address |
122 GORDON COMMERCIAL DR SUITE D |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548576 | Blanche A. Deloach | Dietitian, Registered | 122 Gordon Commercial Dr, Lagrange, GA 30240-5740 | 2005-09-14 |
| 1831711340 | Elizabeth Berry | Counselor | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2020-05-07 |
| 1891314175 | Jennifer Harper | Social Worker | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2020-04-16 |
| 1942846381 | Hanna Cook | Behavior Technician | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2019-11-20 |
| 1952862286 | Kaneisha Mack | Peer Specialist | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2019-03-28 |
| 1295295756 | Lanisha Carmen Rivers | Counselor | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2019-03-21 |
| 1427505981 | Kasey Ross | Counselor | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2016-09-01 |
| 1124498951 | Baxlee Bynum | Counselor | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2015-10-06 |
| 1225473598 | Shawn Allen Droge | Marriage & Family Therapist | 122 Gordon Commercial Dr, Suite D, Lagrange, GA 30240-5754 | 2013-05-01 |
| 1508121211 | Meribeth Pillot | Counselor | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2012-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| 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 |
|---|---|---|---|---|
| 1902301088 | Loletha Kirkland | Social Worker | 505 Bridgette Blvd, Lagrange, GA 30241-6647 | 2018-03-29 |
| 1154772481 | Lagrange Family Counseling, LLC | Social Worker | 102 Main St Ste 217, Lagrange, GA 30240-3212 | 2016-06-28 |
| 1326383761 | Brenda Ann Lovercheck | Social Worker | 1086 Us Highway 85 Unit B, Lagrange, WY 82221-8451 | 2012-12-11 |
| 1700116738 | Kimberly K Luczkowski | Social Worker | 2155 N State Road 9, Lagrange, IN 46761-8746 | 2010-01-14 |
| 1215003173 | Stephanie Katherine Head | Social Worker | 309 W Jefferson St Ste B, Lagrange, KY 40031-1111 | 2006-11-24 |
| 1588769673 | Mary Kitty Sargis | Social Worker | 704 W Jefferson St, Lagrange, KY 40031-1044 | 2006-09-13 |
| 1306853999 | Kathleen Westling | Social Worker | 521 S. Lagrange, Lagrange, IN 60525 | 2006-08-03 |
| 1497250534 | Melissa Taylor-smith | Social Worker | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2018-03-29 |
| 1922547181 | Amanda Davenport | Social Worker | 102 Main St, Suite 217, Lagrange, GA 30240-3225 | 2017-02-20 |
| 1003201559 | Margaret D Brown | Social Worker | 102 Main St, Ste 217, Lagrange, GA 30240-3212 | 2015-04-01 |
| Find all providers in LAGRANGE | ||||
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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.