Furma Shauntel Begley Allen, LCSW
Individual provider Active NPI Social Worker · Martinez, GA
NPI 1629320072 · NPPES record last updated Aug 10, 2016
Key facts
- NPI
- 1629320072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- MSW004665 (GA)
- Practice address
- 4210 Columbia Rd
Ste 13C
Martinez, GA 30907-0445 - Phone
- (706) 833-9378
- Fax
- (706) 522-9104
- NPI assigned
- Oct 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW004665 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracy Reid-Barrow LCSW LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW004665 | GA | Yes |
Addresses
Primary practice location
4210 Columbia Rd
Ste 13C
Martinez, GA 30907-0445
Mailing address
4210 Columbia Rd
Ste 13C
Martinez, GA 30907-0445
Phone (706) 833-9378
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003164181A | Medicaid | GA |
Other names
- Furma Shauntel Begley
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2016. 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.