Address: 3755 Redwine Rd Apt 2216, Atlanta, GA 30344-5932
Phone: 4046676791

EXTRIARA CHARLESH GATES (NPI# 1033755137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033755137
Entity Type Individual
Credential LCSW
Practice Address 3755 Redwine Rd Apt 2216
GA 30344-5932
Practice Telephone 4046676791
Mailing Telephone 4046676791
Enumeration Date 2019-11-23
Last Update Date 2019-11-23
Gender Code F
Is Sole Proprietor N


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
CSW006847 GA Behavioral Health & Social Service Providers

Office Location

Street Address 3755 REDWINE RD APT 2216
State GA
Zip Code 30344-5932

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306468053 Comfortlink Healthcare, LLC Home Health 2691 Harris Street, Eastpoint, GA 30344 2020-05-15
1881159028 Brandon Norris Spires Specialist/Technologist 6000 S Terminal Pkwy, Atlanta, GA 30344 2019-02-01
1568983435 Rhonda Charlette Bussey Social Worker 3173 Delowe Dr, East Point, GA 30344 2017-06-30
1801324603 Megan Marie Timpone Physician Assistant 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 2017-05-24
1861837577 Propsych Behavioral Health Care Services LLC Community/Behavioral Health 1847 Washington Road, East Point, GA 30344 2013-05-08
1932459096 Kimberly Ann Bogard Counselor 4373 Sun Valley Blvd Rm A, East Point, GA 30344 2012-09-17
1376815621 Love Angels Home Health 307 Crest Ridge Dr., East Point, GA 30344 2012-02-02
1861701054 John Allen Reed IIi Physical Therapist 1657 Dorsey Ave., East Point, GA 30344 2010-10-05
1437482783 Winston Daniels Home Health Aide 5100 High Point Rd Ste.36, Union City, GA 30344 2009-09-17
1649405572 Kenyotta Hannah Counselor 1514 Cleveland Avenue, East Point, GA 30344 2009-05-21
Find all providers in zip 30344

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Zip Code 30344

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Dataset Information

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.