Eugene Herrington, PH.D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW001035 Issued in GA

Practice address

60 Edwin PL NW
Atlanta, GA 30318-4881

Phone

(404) 792-1457

NPI assigned

Aug 9, 2005

Reactivated

Mar 30, 2006

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1427059856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EDWIN PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184881",
            "telephone_number": "404-792-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EDWIN PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184881",
            "telephone_number": "404-792-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881938994A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Bailey Herring, RN, FNP-C
• Jodie Rene Herring, CNM
• Kyle Ly Herring
• Raven Herring
• Tyuana Herring
• Krystal Alexus Herrington
• Lauren Leblanc Herriot, NP
• Jessita Herriott
• Devon S Herrmann
• Jessica Lynn Herrod

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, 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 22, 2020; 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.