Clinical Intervention Specialists, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MSW002771 Issued in GA

Legal business name

CLINICAL INTERVENTION SPECIALISTS, LLC

Practice address

696 Mount Zion Rd
Suite 9-C
Jonesboro, GA 30236-1597

Phone

(678) 422-0723

Fax

(678) 802-1970

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Loutina Rena Murrell, LMSW

Title

Ceo/Executive Director

Phone

(404) 514-3292

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1548433303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6859 SLATE STONE WAY SE",
            "address_2": "SUITE 1-A",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265469",
            "telephone_number": "770-745-3556",
            "fax_number": "770-745-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MOUNT ZION RD",
            "address_2": "SUITE 9-C",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361597",
            "telephone_number": "678-422-0723",
            "fax_number": "678-802-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL INTERVENTION SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "MURRELL",
        "authorized_official_first_name": "LOUTINA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-514-3292",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW002771",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "MSW002771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Clayton
• Teresa Cleaves, CSA
• Desiree Clement, CNM
• Roza Elena Clempus, M.D.
• Lashaunda Denise Clerizier, APRN
• Debbie Lashal Cobb
• Azizah Codner
• Tracie Cogdell
• Monica Michelle Cohen, MS,
• Robert D Cohen, MD

• Clinical Social Worker in Jonesboro, GA
• Providers in Jonesboro, 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 Apr 11, 2008; 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.