Ismarie Mabry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

175 Samaritan Dr
Jasper, GA 30143-1964

Phone

(706) 253-4633

NPI assigned

Jan 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

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

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.

• Good Samaritan Health & Wellness Center Inc.

  dba Dragon Care

  • Federally Qualified Health Center (FQHC)
  • Jasper, GA
  • NPI 1215828819
  NPD

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1285819235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SAMARITAN DR",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431964",
            "telephone_number": "706-253-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SAMARITAN DR",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431964",
            "telephone_number": "706-253-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "ISMARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie W Logan, PT
• Frank Clark Lopez, M.D.
• Camlyn Lowe, FNP-BC
• Michael Edward Lynch Sr., MD
• M & M Interventional Spine
• Khawaja R Mahmood, M.D.
• Patrick S Malone, DPM
• Karl Mareth, MD
• Kimberly Lisle Martin, LPC
• Victoria Martin

• Clinical Social Worker in Jasper, GA
• Providers in Jasper, 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 29, 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.