Active NPI
Jonita Leandra McKinney
- Clinical Social Worker
- Lawrenceville, GA
National Provider Identifier
1487226569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 175 Langley Dr Ste E1
Lawrenceville, GA 30046-6952 - Phone
- (470) 219-1472
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
175 Langley Dr Ste E1
Lawrenceville, GA 30046-6952
Mailing address
175 Langley Dr Ste E1
Lawrenceville, GA 30046-6952
Phone (470) 219-1472
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | @refiningfireatl.org | ||
| CONNECT URL | @outlook.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refining Perceptions | Clinical | Current | Accepting new patients |
| Phoenix Pathways LLC. | Clinical | Current | Accepting new patients |
Locations
175 Langley Dr
Ste E1
Lawrenceville, GA 30046
Phone (470) 219-1472
279 W Crogan St
Lawrenceville, GA 30046
Phone (404) 396-4417
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Lawrenceville, GA
- NPI 1174355333
-
- Psychiatric/Mental Health Nurse Practitioner
- Lawrenceville, GA
- NPI 1225600885
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1487226569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 LANGLEY DR STE E1",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300466952",
"telephone_number": "470-219-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 LANGLEY DR STE E1",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300466952",
"telephone_number": "470-219-1472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "JONITA",
"middle_name": "LEANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-16",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "@refiningfireatl.org",
"affiliation": "N",
"address_1": "175 Langley Dr Ste E1",
"city": "Lawrenceville",
"state": "GA",
"country_code": "US",
"postal_code": "300466952",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "@outlook.com",
"affiliation": "N",
"address_1": "175 Langley Dr Ste E1",
"city": "Lawrenceville",
"state": "GA",
"country_code": "US",
"postal_code": "300466952",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrenceville, GA
- Jennifer Hall McKenzie, FNP-C
- Marla McKenzie
- Martha Vecker McKenzie, LCSW
- Taylor McKibbens, R.N.
- Chalonda McKinley
- Tiffany McKinnie, M.D
- McLarencare Physical Therapy - Lawrenceville LLC (FYZICAL Therapy & Balance Centers - Lawrenceville Sugarloaf)
- Ginny McLaughlin, CAP
- Teresa Yvonne McLaughlin
- Carole McLean
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.