Debra Shreve, LCSW
Individual provider Active NPI Mental Health Counselor · Monroe, GA
NPI 1043604382 · NPPES record last updated Mar 25, 2015
Key facts
- NPI
- 1043604382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CSW004818 (GA)
- Practice address
- 834 Highway 11 SW
Monroe, GA 30655-6036 - Phone
- (770) 267-8302
- Fax
- (706) 227-7249
- NPI assigned
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150505002525 | GA | Practitioner - Clinical Social Worker | 2961721485 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CSW004818 | GA | Yes |
Addresses
Primary practice location
834 Highway 11 SW
Monroe, GA 30655-6036
Mailing address
250 North Ave
Athens, GA 30601-2244
Phone (706) 389-6789
Other providers in Monroe, GA
- Amanda Shannon
- Micah Shaw
- Shirley Harden Merritt
- Sylvie M Shiwiri
- Danny Shoemake
- George Harrison Shu
- Sherry G. Shuman
- Steven W Siegan
- Patricia E Silvernail
- Joy Sims
All providers in Monroe, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.