MARYBETH ANN PETERS (NPI# 1881235133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881235133 |
| Entity Type | Individual |
| Full Name | MARYBETH ANN PETERS |
| Other Name | MARYBETH ANN GUAGLIARDO |
| Credential | LCSW CEAP |
| Practice Address |
1457 Clairmont Rd Decatur GA 30033-5362 |
| Practice Telephone | 4042722013 |
| Mailing Telephone | 4042722013 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003012 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CAQH | 14322245 | 01 |
| Street Address |
1457 CLAIRMONT RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| 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 |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1750999710 | Torquesia Smith | Social Worker | 3904 N Druid Hills Rd Ste 243, Decatur, GA 30033-3105 | 2020-07-16 |
| 1760002836 | Renee Ann Hall-george | Social Worker | 235 E Ponce De Leon Ave Ste 227, Decatur, GA 30030-3412 | 2020-04-19 |
| 1831721067 | Shelly-anne Johnson | Social Worker | 2205 Green Forrest Dr, Decatur, GA 30032-7165 | 2020-02-05 |
| 1871130096 | Mark Loren Kiefer | Social Worker | 2719 Mount Olive Dr, Decatur, GA 30033-2928 | 2019-12-06 |
| 1639715782 | Nadine Coleen Oldham | Social Worker | 2785 Lawrenceville Hwy Ste 205, Decatur, GA 30033-2515 | 2019-11-25 |
| 1720635782 | Caitlin Virginia Rattigan | Social Worker | 245 E Trinity Pl Unit 1260, Decatur, GA 30030-3487 | 2019-08-23 |
| 1700448644 | Danna Lipton | Social Worker | 209a Swanton Way Ste 102, Decatur, GA 30030-3271 | 2019-07-01 |
| 1023673647 | Candace E Guthery | Social Worker | 16 Moulton St E, Decatur, AL 35601-2310 | 2019-05-08 |
| 1114483898 | Caroline Morris | Social Worker | 1330 Faraday Pl, Decatur, GA 30033-3107 | 2019-02-18 |
| Find all providers in DECATUR | ||||
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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.