Colette Alls
Individual provider Active NPI Clinical Social Worker · Stockbridge, GA
NPI 1164039095 · NPPES record last updated Jul 9, 2025
Key facts
- NPI
- 1164039095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW008284 (GA)
- Practice address
- 447 Lakeshore Dr
Stockbridge, GA 30281 - Phone
- (678) 886-1261
- NPI assigned
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, NE
- 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 |
|---|---|---|---|---|
| I20230414000682 | GA | Practitioner - Clinical Social Worker | 6709251267 | Reassigns benefits to 2 organizations |
| I20260623003229 | NE | Practitioner - Mental Health Counselor | 6709251267 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW008284 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Mental Health Specialty Group PA | 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
3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW008284 | GA | Yes |
Addresses
Primary practice location
447 Lakeshore Dr
Stockbridge, GA 30281
Mailing address
31 Pine Grove Rd # 1019
Locust Grove, GA 30248-2561
Phone (678) 886-1261
Other providers in Stockbridge, GA
- Pearline Allen
- Tsahai Simone Allen
- Allergy & Asthma Specialists
- Montrese Pitmon Alleyne
- David William Allison
- Allspine Anesthesia, LLC
- Alpha Medical Wellness and Walk in Clinic LLC
- Alpha Omega Holistic Care & Counseling, LLC.
- Adriel Alston
- Amara Pediatric Therapy, LLC
All providers in Stockbridge, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.