KATHERINE KENDALL ELLISTON (NPI# 1861902561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861902561 |
| Entity Type | Individual |
| Full Name | KATHERINE KENDALL ELLISTON |
| Credential | LCSW |
| Practice Address |
1030 Fayetteville Rd Se Atlanta GA 30316-2921 |
| Practice Telephone | 7068313803 |
| Mailing Telephone | 7068313803 |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW005323 | GA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
000120576 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Longwood Ave, Boston, MA 021155724 | 6173557961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932645124 | Katherine Elliston | Occupational Therapy Assistant | 12 Town and Country Dr, Cartersville, GA 30120-4031 | 2017-01-11 |
| Street Address |
1030 FAYETTEVILLE RD SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876998 | Conni Cole Pritchett | Counselor | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-09-21 |
| 1629682083 | Cynthia Doumit | Counselor | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-09-03 |
| 1689286601 | Bria Harris | Counselor | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-08-20 |
| 1922617471 | Denise Monique Clark | Counselor | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-07-29 |
| 1932718798 | Brianna Monai Brooks | Counselor | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-07-28 |
| 1710596408 | Monica Marie Cota-bilbrey | Marriage & Family Therapist | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-07-28 |
| 1245858703 | Laura W Mallard | Counselor | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-07-10 |
| 1053938266 | Christin Bailey Kendrick | Student in an Organized Health Care Education/Training Program | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-07-03 |
| 1457977381 | Steven Reynolds | Counselor | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-06-16 |
| 1518598689 | Niti Patel | Marriage & Family Therapist | 1030 Fayetteville Rd Se, Atlanta, GA 30316 | 2020-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| 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 |
|---|---|---|---|---|
| 1023617495 | Anita S White | Social Worker | 981 Cleveland Ave, Atlanta, GA 30344-6717 | 2020-10-18 |
| 1164038394 | Alex Kyle Allen | Social Worker | 10 Surry County Pl Nw, Atlanta, GA 30318-1412 | 2020-09-22 |
| 1679189872 | Nicole Melissa King | Social Worker | 130 Arizona Ave Ne Unit 408, Atlanta, GA 30307-2257 | 2020-09-22 |
| 1245845288 | Jennie Gray Mulligan | Social Worker | 1911 Hallman St Ne, Atlanta, GA 30317-1001 | 2020-09-15 |
| 1518577253 | Chastity Quave | Social Worker | 790 Huff Rd Nw Apt 2062, Atlanta, GA 30318-4344 | 2020-08-07 |
| 1407465354 | Lavender Grove Psychotherapy | Social Worker | 3755 Redwine Rd, Atlanta, GA 30344-5899 | 2020-07-27 |
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1518576883 | Dream Again Therapy Services LLC | Social Worker | 3401 Norman Berry Dr Ste 254a, Atlanta, GA 30344-5102 | 2020-07-23 |
| 1245848878 | Chalon Dabney | Social Worker | 1155 Perimeter Ctr, Atlanta, GA 30338-5463 | 2020-07-20 |
| 1649888595 | Adrienne Bryant Smith | Social Worker | 2099 Glenwood Ave Se, Atlanta, GA 30316-2358 | 2020-07-16 |
| Find all providers in ATLANTA | ||||
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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.