Gaye Brown Ethridge, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW000609 Issued in GA

Practice address

144 Pierce Ave
Crossroads Counseling Center
Macon, GA 31204-2860

Phone

(478) 475-4608

Fax

(478) 476-8397

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1558433888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAKE RIDGE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312205419",
            "telephone_number": "478-477-7982",
            "fax_number": "478-464-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 PIERCE AVE",
            "address_2": "CROSSROADS COUNSELING CENTER",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042860",
            "telephone_number": "478-475-4608",
            "fax_number": "478-476-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHRIDGE",
        "first_name": "GAYE",
        "middle_name": "BROWN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW000609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan M Esnard, M.D.
• Rex Kelechukwu Esochaghi, MD
• Emily Thompson Estes, RN-FNP-C
• Gregory Etchason, MD
• Christy Rebecca Etheridge, FNP
• Shannon Slocumb Ethridge, FNP-C
• Riley Ann Eubank, PA-C
• Caitlin Evans, NP
• Christina Nicole Evans, NP-C
• Janae Evans

• Clinical Social Worker in Macon, GA
• Providers in Macon, 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 Dec 19, 2011; 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.