Raymond Edwin Jeanes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007931 Issued in GA

Practice address

730 Peachtree St NE Ste 570a
Atlanta, GA 30308-1210

Phone

(678) 805-7181

NPI assigned

Mar 21, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Raymond Edwin Mangelsdorf Former name

Medicare fee-for-service enrollment

Enrolled in NC, GA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jeanes Mental Health Services LLC

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1710672977

  NC

  Medicare reassignment NPD Authorized official
• Soldier Therapist

  • Clinical Social Worker
  • Lawrenceville, GA
  • NPI 1780348458
  NPD Authorized official

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1437511367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 PEACHTREE ST NE STE 570A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081210",
            "telephone_number": "678-805-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 PEACHTREE ST NE STE 570A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081210",
            "telephone_number": "678-805-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Glenwood Ave Ste 200-291",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276123856",
            "country_code": "US",
            "telephone_number": "678-805-7181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEANES",
        "first_name": "RAYMOND",
        "middle_name": "EDWIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-21",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011021",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYMOND",
            "last_name": "MANGELSDORF",
            "middle_name": "EDWIN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerryanne Jean, PMHNP
• Isabelle Jean
• Jeff R. Jean, FNP-BC
• Maygui Rayana Jean
• Jeanes Mental Health Services LLC
• Jeanne M Perrine OD PC
• Valerie Jeanneret Lopez, MD
• Pierre Jeanty
• Mark Justin Jedrzejczak
• Angel Jeff, NNP

• 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 Jun 7, 2023; 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.