Doreen Church LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006026 Issued in GA

Legal business name

DOREEN CHURCH LCSW LLC

Practice address

1663 Executive Park LN NE
Atlanta, GA 30329-3130

Phone

(678) 662-0029

NPI assigned

May 1, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doreen Church, LCSW

Title

Counselor

Phone

(678) 662-0029

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1023543790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 EXECUTIVE PARK LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293130",
            "telephone_number": "678-662-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 EXECUTIVE PARK LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293130",
            "telephone_number": "678-662-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOREEN CHURCH LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "678-662-0029",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas L. Dopson, M.D.
• Gabriella Dorado
• John J Doran, M.D.
• David Patrice Dorcius, MD
• Karen Emefa Dordor, MD
• Susan M Dorgan, OT
• Tara Leigh Doria, MFT,MS
• Shirly Dorilas
• Kendall Dorion, D.C.
• Lauren Doris

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.