Mary Behrends, LCSW – Clinical Social Worker

Key facts

NPI: 1598321010
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: CSW005642 (GA)
Practice address: 1222 Rumsey Rd
Eastanollee, GA 30538-2224
Phone: (423) 903-9761
Fax: (423) 822-5729
NPI assigned: May 10, 2019
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Reins of Life Inc Clinical Social Worker · Eastanollee, GA · NPI 1316501059

NPD (past) CLINICAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
CSW005642	GA	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Reins of Life Inc	Clinical	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	CSW005642	GA	Yes

Addresses

Primary practice location

1222 Rumsey Rd
Eastanollee, GA 30538-2224

Mailing address

725 Amys Creek Rd
Clarkesville, GA 30523-3622
Phone (423) 903-9761

Electronic endpoints

Type	Endpoint	Use	Affiliation
Other URL	diane@matrixmedicalrevenue.com	Direct

Other providers in Eastanollee, GA

All providers in Eastanollee, GA · Clinical Social Worker in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.