Debra Shreve, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CSW004818 Issued in GA

Practice address

834 Highway 11 SW
Monroe, GA 30655-6036

Phone

(770) 267-8302

Fax

(706) 227-7249

NPI assigned

Mar 25, 2015

Last updated

Mar 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA

  Medicare reassignment NPD
• Advantage BHS

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, GA
  • NPI 1467526798
  NPD (past)
• Advantage BHS

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, GA
  • NPI 1760558571
  NPD (past)

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1043604382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTH AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012244",
            "telephone_number": "706-389-6789",
            "fax_number": "706-227-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 HIGHWAY 11 SW",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306556036",
            "telephone_number": "770-267-8302",
            "fax_number": "706-227-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "DEBRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW004818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Shannon
• Micah Shaw, D.M.D.
• Shirley Harden Merritt (Elderly and Independent)
• Sylvie M Shiwiri
• Danny Shoemake, LAPC
• George Harrison Shu, LMSW
• Sherry G. Shuman, APRN-BC
• Steven W Siegan, MD
• Patricia E Silvernail, PTA
• Joy Sims

• Mental Health Counselor in Monroe, GA
• Providers in Monroe, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.