MS. KRISTIN ELIZABETH FAHEY (NPI# 1699953950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699953950 |
| Entity Type | Individual |
| Full Name | MS. KRISTIN ELIZABETH FAHEY |
| Credential | LCSW |
| Practice Address |
7370 Hodgson Memorial Dr Ste C3 Savannah GA 31406 |
| Mailing Address |
7370 Hodgson Memorial Dr Ste C3 Savannah GA 31406-2540 |
| Practice Telephone | 9123983206 |
| Mailing Telephone | 9123983206 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
F0109281305 | GA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW002239 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5302 Frederick Street, Suite 107, Savannah, GA 31405 | 9123983206 | 9123524220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043720220 | Kristin Marie Fahey | Registered Nurse | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2017-10-02 |
| Street Address |
7370 HODGSON MEMORIAL DR STE C3 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| 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 |
|---|---|---|---|---|
| 1538772363 | Marian Marshall | Social Worker | 117 Whitehavven Rd, Savannah, GA 31407-3140 | 2020-08-31 |
| 1093326142 | Wakeshia Latoya Roberson | Social Worker | 85 Ristona Dr, Savannah, GA 31419-6220 | 2020-08-12 |
| 1932738952 | Catherine Patterson Beasley | Social Worker | 7606 Driftwood Ave, Savannah, GA 31406-4255 | 2020-04-02 |
| 1790318863 | Lakeisha K Lewis | Social Worker | 9400 Abercorn St Apt 323, Savannah, GA 31406-4525 | 2020-02-18 |
| 1568092286 | Julie Dallas | Social Worker | 836 E 65th St Ste 2, Savannah, GA 31405-4491 | 2020-01-22 |
| 1881230415 | Catherine Dejesus | Social Worker | 10 Harmony Ln, Savannah, GA 31419-9862 | 2019-11-19 |
| 1386291953 | Adrian D Anderson | Social Worker | 6205 Abercorn St Ste 204, Savannah, GA 31405-5534 | 2019-08-19 |
| 1972160604 | Erica P Dyal | Social Worker | 37 W Fairmont Ave Ste 320, Savannah, GA 31406-3458 | 2019-05-29 |
| 1851867774 | Patria Counseling LLC | Social Worker | 3025 Bull St Ste 303, Savannah, GA 31405-2049 | 2018-10-18 |
| 1932605045 | Brittaney Brackett | Social Worker | 340 Eisenhower Dr Ste 300b, Savannah, GA 31406-2683 | 2018-04-05 |
| Find all providers in SAVANNAH | ||||
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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.