Integrity Counseling and Personal Development LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004024 Issued in GA

Legal business name

INTEGRITY COUNSELING AND PERSONAL DEVELOPMENT LLC

Practice address

83 Athens St
Jefferson, GA 30549-1401

Phone

(706) 387-0573

Fax

(706) 387-0573

NPI assigned

Jul 30, 2014

Last updated

Jul 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine B Dalton, LCSWNPI 1043468747

Title

Owner

Phone

(706) 387-0573

Specialties & licenses 1

Addresses

Other names 1

• Christine Dalton MBR Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine B Dalton, LCSW

  • Clinical Social Worker
  • Jefferson, GA
  • NPI 1043468747
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1457769739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 ATHENS ST",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491401",
            "telephone_number": "706-387-0573",
            "fax_number": "706-387-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ATHENS ST",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491401",
            "telephone_number": "706-387-0573",
            "fax_number": "706-387-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY COUNSELING AND PERSONAL DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-387-0573",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christine Dalton MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Jefferson, GA
• Providers in Jefferson, 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 Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.