Active NPI
Natasha Williams Herrin, LSCSW
- Clinical Social Worker
- Waycross, GA
National Provider Identifier
1093299356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006543
- Practice address
- 1007 Mary St
Waycross, GA 31503-3823 - Phone
- (912) 449-7100
- NPI assigned
- Sep 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW006543 | GA | Primary |
Addresses
Primary practice location
1007 Mary St
Waycross, GA 31503-3823
Mailing address
6959 Hacklebarney Rd
Blackshear, GA 31516-4692
Phone (912) 670-1299
Other practice location 1
1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Phone (620) 663-7595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006543 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Center for Counseling and Consultation | Current | Accepting new patients | |
| Big Umbrella Counseling | Past | Accepting new patients | |
| Pawnee Mental Health Service, Inc. | Past | Accepting new patients |
Locations
8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806
5815 Broadway Ave
Great Bend, KS 67530
Phone (620) 792-2544
Interoperability endpoints
- natashaherrin@tdh.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Great Bend, KS
- NPI 1104862549
-
- Counselor
- Blackshear, GA
- NPI 1437805579
-
- Primary Care Clinic/Center
- Manhattan, KS
- NPI 1356139158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1093299356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6959 HACKLEBARNEY RD",
"city": "BLACKSHEAR",
"state": "GA",
"postal_code": "315164692",
"telephone_number": "912-670-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 MARY ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315033823",
"telephone_number": "912-449-7100"
}
],
"practiceLocations": [
{
"address_1": "1600 N Lorraine St Ste 202",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "KS",
"postal_code": "675015600",
"country_code": "US",
"telephone_number": "620-663-7595",
"fax_number": "620-513-5098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRIN",
"first_name": "NATASHA",
"middle_name": "WILLIAMS",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.