Iris Branch Cleveland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001900 Issued in GA

Practice address

715 Bradley Dr
Fayetteville, GA 30214-2030

Phone

(770) 638-5252

Fax

(770) 460-2463

NPI assigned

Aug 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

A New Start Counseling Center IncGroup PAC ID 2466340310, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJFHBD

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.

• A New Start Counseling Center Inc

  • Psychologist
  • Fayetteville, GA
  • NPI 1477619195

  Clinical

  Medicare reassignment Care Compare group NPD
• Health Education, Assessment and Leadership, Inc

  dba The HEALing Community Center

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1831476399
  Medicare reassignment NPD
• Accordia Counseling Solutions

  • Counseling Psychologist
  • Fayetteville, GA
  • NPI 1518290857

  Clinical

  NPD (past)
• Health Education Assessment and Leadership, Inc

  dba HEALing Community Center

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1700328309
  NPD (past)
• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1336317270
  NPD (past)
• McIntosh Trail Community Service Board

  dba Fayette Co Counseling Center

  • Community/Behavioral Health Agency
  • Fayetteville, GA
  • NPI 1689852840
  NPD (past)

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

{
    "created_epoch": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313884800000",
    "number": "1184904211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BRADLEY DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142030",
            "telephone_number": "770-638-5252",
            "fax_number": "770-460-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BRADLEY DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142030",
            "telephone_number": "770-638-5252",
            "fax_number": "770-460-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "IRIS",
        "middle_name": "BRANCH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-21",
        "last_updated": "2011-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "001900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telisha Niketia Clark
• Torey B Clark, M.D.
• Shannon Claxton
• Jonathan Clayton, MD
• Robert L Clemons II, LPC
• Lisa Clevleland, RN
• Shrenna L Clifton, D.D.S
• Amber Cloud, RBT
• Kaitlyn Cobb, PTA
• Nadra Louise Cochran, RN FIRST ASSIST

• Clinical Social Worker in Fayetteville, GA
• Providers in Fayetteville, 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 Aug 21, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.