MR. TED M KIRK (NPI# 1629357637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629357637 |
| Entity Type | Individual |
| Full Name | MR. TED M KIRK |
| Credential | SOCIAL WORKER |
| Practice Address |
977a Taylor Street Conyers GA 30012 |
| Practice Telephone | 7709186677 |
| Practice Fax Number | 7709186686 |
| Mailing Telephone | 7709186677 |
| Mailing Fax Number | 7709186686 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW004940 | GA | Behavioral Health & Social Service Providers |
| Street Address |
977A TAYLOR STREET |
| City | CONYERS |
| State | GA |
| Zip Code | 30012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952698227 | Grncsb | Point of Service | 977a Taylor Street, Conyers, GA 30012 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| 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 |
|---|---|---|---|---|
| 1912520339 | Sima Joan Mujenyi | Social Worker | 535 Valley Woods Cir Se, Conyers, GA 30094-3865 | 2020-05-20 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1902182058 | Jeanna Chapman | Social Worker | 1805 Flat Shoals Rd Se, Conyers, GA 30013-1805 | 2011-11-02 |
| 1326100033 | Atasha M Murray | Social Worker | 3325 Coach House Ct, Conyers, GA 30013-6391 | 2006-12-16 |
| 1013078062 | Latisha Jones Walker | Social Worker | 977 Taylor St Sw # A, Conyers, GA 30012-5357 | 2006-12-13 |
| 1013547215 | Lorraine Tillman | Social Worker | 2012 Eastview Pkwy Ste 400, Conyers, GA 30013-5701 | 2020-01-16 |
| 1659724987 | Alyssa Johnson | Social Worker | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2016-07-21 |
| 1942677901 | Kabian Brown | Social Worker | 1506 Klondike Rd Sw, Ste 403, Conyers, GA 30094-5173 | 2015-08-26 |
| 1144518242 | Joseph William Witherspoon Jr. | Social Worker | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2011-07-11 |
| 1801951785 | Michelle Goolsby | Social Worker | 977 Taylor St Sw, Suite-a, Conyers, GA 30012-5357 | 2006-12-22 |
| Find all providers in CONYERS | ||||
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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.