JESSICA LAUREN PACKMAN (NPI# 1811414964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811414964 |
| Entity Type | Individual |
| Full Name | JESSICA LAUREN PACKMAN |
| Credential | LCSW |
| Practice Address |
11675 Century Dr Unit C Alpharetta GA 30009-8367 |
| Mailing Address |
221 Stone Park Dr Holly Springs GA 30188-1625 |
| Practice Telephone | 6787403990 |
| Mailing Telephone | 4042817189 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW6192 | GA | Behavioral Health & Social Service Providers |
| Street Address |
11675 CENTURY DR UNIT C |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30009-8367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265593529 | Leah Carter Molloy | Counselor | 11675 Century Dr Unit C, Alpharetta, GA 30009-8367 | 2006-12-12 |
| 1467082065 | Kellie Lassig | Counselor | 11675 Century Dr Unit C, Alpharetta, GA 30009-8367 | 2020-01-22 |
| 1902458235 | Dana P. Rogers | Psychologist | 11675 Century Dr Unit C, Alpharetta, GA 30009-8367 | 2019-07-16 |
| 1639666704 | Amberly Ellis | Counselor | 11675 Century Dr Unit C, Alpharetta, GA 30009-8367 | 2018-04-15 |
| 1588161962 | Kristi Gail Cronan | Counselor | 11675 Century Dr Unit C, Alpharetta, GA 30009-8367 | 2018-04-11 |
| 1285078683 | Sanita L Salter | Counselor | 11675 Century Dr Unit C, Suite C, Alpharetta, GA 30009-8367 | 2013-04-29 |
| 1801187745 | Erin Grace Nicolas | Counselor | 11675 Century Dr Unit C, Alpharetta, GA 30009-8367 | 2011-04-26 |
| 1508188095 | Amy H Stefanko | Social Worker | 11675 Century Dr Unit C, Alpharetta, GA 30009-8367 | 2010-02-24 |
| 1952451197 | Tara L. Schoeller | Social Worker | 11675 Century Dr Unit C, Alpharetta, GA 30009-8367 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| 1437778354 | Therapeutic Alliance LLC | Social Worker | 2300 Lakeview Parkway, Suite 700, Alpharetta, GA 30009 | 2020-04-10 |
| 1457901209 | Carehere LLC | Family Medicine | Carehere Clinic- Jackson Healthcare, 2655 Northwinds Pkwy, Alpharetta, GA 30009 | 2019-09-13 |
| 1952888927 | Total Access Pediatrics LLC | Pediatrics | 401 S Main St Ste A1, Alpharetta, GA 30009 | 2018-07-23 |
| 1356836878 | Hcenti, LLC | Audiologist-Hearing Aid Fitter | 2365 Old Milton Parkway, Alpharetta, GA 30009 | 2018-06-27 |
| 1093203341 | Samantha Elizabeth Heuwagen | Marriage & Family Therapist | 286 S Main St Ste 100, Alpharetta, GA 30009 | 2018-04-23 |
| 1275035578 | Personal Concierge Md, LLC | Internal Medicine | 10105 Westside Parkway, Suite 110, Alpharetta, GA 30009 | 2018-03-02 |
| 1124474929 | Allyne Anesthesia PC | Anesthesiology | 11675 Rainwater Drive, Suite 250, Alpharetta, GA 30009 | 2016-05-11 |
| 1932579885 | Patricia Aycock Jones Garrett | Nurse Practitioner | 1031a Cambridge Square, Alpharetta, GA 30009 | 2015-10-05 |
| 1558770123 | Terry A Williams | Physician Assistant | 2400 Old Milton Parkway, #1433, Alpharetta, GA 30009 | 2014-08-07 |
| Find all providers in zip 30009 | ||||
| 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 |
|---|---|---|---|---|
| 1477164903 | Michelle Lorraine Panzarella | Social Worker | 12579 Huntington Trce, Alpharetta, GA 30005-7501 | 2020-08-10 |
| 1437778354 | Therapeutic Alliance LLC | Social Worker | 2300 Lakeview Parkway, Suite 700, Alpharetta, GA 30009 | 2020-04-10 |
| 1992339840 | Talitha Faye Klingberg | Social Worker | 3060 Kimball Bridge Rd Ste 110, Alpharetta, GA 30022-1404 | 2020-03-01 |
| 1336771237 | Primo Wellness | Social Worker | 6742 Jamestown Drive, Alpharetta, GA 30022-3002 | 2020-02-08 |
| 1003301276 | Yvette Robinson | Social Worker | 3060 Royal Boulevard South, Suite 110, Alpharetta, GA 30022-1404 | 2018-06-28 |
| 1053834572 | Elizabeth Kaye Johnson | Social Worker | 3060 Royal Blvd S Ste 210, Alpharetta, GA 30022-1443 | 2017-07-18 |
| 1306373758 | Tiffany Dawn Davis | Social Worker | 5480 Mcginnis Village Pl Ste 104, Alpharetta, GA 30005-1746 | 2017-05-16 |
| 1164979514 | Vision One Counseling LLC | Social Worker | 3068 Big Sky Ln, Alpharetta, GA 30004-3104 | 2016-09-02 |
| 1942689948 | Keisha Carter | Social Worker | 1480 Winshire Cv, Alpharetta, GA 30004-0592 | 2015-05-22 |
| 1760886295 | Mariann Mamberg | Social Worker | 1850 Highgrove Club Dr, Alpharetta, GA 30004-6958 | 2014-10-13 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30009 |
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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.