DR. JERRY B. DANIEL (NPI# 1861769861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861769861 |
| Entity Type | Individual |
| Full Name | DR. JERRY B. DANIEL |
| Credential | PH.D. |
| Practice Address |
1395 David Mullis Rd Rentz GA 31075-3219 |
| Practice Telephone | 4789982824 |
| Practice Fax Number | 4789841609 |
| Mailing Telephone | 4789841979 |
| Mailing Fax Number | 4789841609 |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2011-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YS0200X |
Counselor Specialization: School |
328554 | GA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003690 | GA | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
328554 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326296310 | Jerry Daniel | Anesthesiology | 5944 W Parker Rd, Suite 400, Plano, TX 75093-6421 | 2008-09-03 |
| 1639294820 | Jerry W Daniel | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| Street Address |
1395 DAVID MULLIS RD |
| City | RENTZ |
| State | GA |
| Zip Code | 31075-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235467507 | Rentz Health Care | Clinic/Center | 2160 Highway 117, Rentz, GA 31075 | 2009-11-25 |
| 1235392655 | Tammy Pitts Radney | Licensed Practical Nurse | 1074 Lazy Ln, Rentz, GA 31075-3424 | 2008-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235467507 | Rentz Health Care | Clinic/Center | 2160 Highway 117, Rentz, GA 31075 | 2009-11-25 |
| 1235392655 | Tammy Pitts Radney | Licensed Practical Nurse | 1074 Lazy Ln, Rentz, GA 31075-3424 | 2008-07-07 |
| 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 |
|---|---|---|---|---|
| 1700487782 | Lora Christi Dukes | Social Worker | 612 Kenwood Dr, Waycross, GA 31501-6904 | 2020-11-05 |
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1326647629 | Sheba Phillips | Social Worker | 2402 Orlando Dr, Valdosta, GA 31602-1921 | 2020-10-19 |
| 1144829482 | Jennifer M Sublett | Social Worker | 1721 Sterling Cir, Cairo, GA 39828-4501 | 2020-10-19 |
| 1023617495 | Anita S White | Social Worker | 981 Cleveland Ave, Atlanta, GA 30344-6717 | 2020-10-18 |
| 1700484102 | Nicole Elisabeth Kohl | Social Worker | 70 Sunbury Ct, Richmond Hill, GA 31324-9621 | 2020-10-16 |
| 1629676333 | Christiana Oluwatoyin Sonuga | Social Worker | 699 Clairidge Elm Trl, Lawrenceville, GA 30046-7753 | 2020-10-14 |
| 1407454663 | Danielle Deane | Social Worker | 1655 Grayson Hwy Apt 6307, Grayson, GA 30017-1133 | 2020-10-10 |
| 1306443304 | Holly Stuckey | Social Worker | 5748 Pine Oak Dr, Norcross, GA 30092-3508 | 2020-10-04 |
| 1316544323 | Summer Al-majed | Social Worker | 180 Shore Dr, Suwanee, GA 30024-2940 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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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.