Christy Bearrentine, LCSW
Individual provider Active NPI Clinical Social Worker · Buford, GA
NPI 1407178262 · NPPES record last updated Feb 22, 2010
Key facts
- NPI
- 1407178262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 924 Gainesville Hwy Ste 210
Buford, GA 30518-1639 - Phone
- (770) 309-3137
- Fax
- (770) 831-3615
- NPI assigned
- Feb 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Possibilities Counseling Service | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
924 Gainesville Hwy Ste 210
Buford, GA 30518-1639
Mailing address
924 Gainesville Hwy Ste 210
Buford, GA 30518-1639
Phone (770) 309-3137
Other providers in Buford, GA
- Rhea Renee Battle
- Shamika Maria Battle
- BDD,LLC
- Daryl Beard
- Bethany Bearden
- Beautiful Dreamers
- Olga Lucia Beisel
- Jonathan Beltran
- Benchmark Healthcare Services LLC
- Lindsay Darracott Bendetti
All providers in Buford, 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 Feb 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.