Gwendolyn Denise Coley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007060 Issued in GA

Practice address

1809 River Rd
Fort Valley, GA 31030-7029

Phone

(478) 827-3224

NPI assigned

May 24, 2016

Last updated

Sep 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Peach Center

  • Clinical Social Worker
  • Fort Valley, GA
  • NPI 1861086506
  NPD Authorized official
• The Peach Pit

  • Clinical Social Worker
  • Fort Valley, GA
  • NPI 1023511789
  Authorized official Same address or phone

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1063869600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310300891",
            "telephone_number": "478-827-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 RIVER RD",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310307029",
            "telephone_number": "478-827-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEY",
        "first_name": "GWENDOLYN",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007060",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25343",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4951C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christ's Sanctified Holy Church, Inc. (Church Home for the Aged)
• Christie Eye Care
• Anna Charlotte Chupp
• Church Home Rehabilitation and Healthcare, LLC
• Classroom21
• Torina L Collins
• Gerald Jerome Cook
• Towanna Cummings
• Curtis E. Waites, D.D.S., P.C.
• Cynthia L. Giles, D.O., L.L.C.

• Clinical Social Worker in Fort Valley, GA
• Providers in Fort Valley, 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 Sep 11, 2026; 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.