Greenleaf Outreach Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GREENLEAF OUTREACH SERVICES

Practice address

12461 Veterans Memorial Hwy Ste 778
Douglasville, GA 30134-2025

Phone

(470) 977-2747

Fax

(472) 427-5443

NPI assigned

Jan 19, 2022

Organization subpart

No

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

Authorized official

Name

Natyshia Smith, MSWNPI 1427700632

Title

Director

Phone

(470) 977-2747

Specialties & licenses 9

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natyshia Smith, DSW, LMSW, LSWAIC

  • Clinical Social Worker
  • Douglasville, GA
  • NPI 1427700632
  NPD Authorized official
• Sharita Everett, M.S.

  • Mental Health Counselor
  • Fayetteville, GA
  • NPI 1457860090
  NPD (past)

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1144972357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12461 VETERANS MEMORIAL HWY STE 778",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342025",
            "telephone_number": "470-977-2747",
            "fax_number": "470-427-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12461 VETERANS MEMORIAL HWY STE 778",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342025",
            "telephone_number": "470-977-2747",
            "fax_number": "472-427-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATYSHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "470-977-2747",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesha P Green, LCSW
• Mary O. Green, SOCIAL WORKER
• Nakisha Green, LMT
• Sarah Green
• Shawnnetta N Green, LAPC
• Victoria Griffin, M.ED., LPC, MAC
• William A Griffith, MD
• Kristin Isabel Griggs, PA-C
• Melissa Ann Grill-Petersen, DC
• Mackenzie Lurene Mashburn Grillo, NP

• Clinical Social Worker in Douglasville, GA
• Providers in Douglasville, 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 Jan 17, 2024; 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.