Individual provider Active NPI

Season Flores, LCSW

  • Clinical Social Worker
  • Dalton, GA
National Provider Identifier
1629558879
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006539 Issued in GA
Practice address
900 Shugart Rd
Dalton, GA 30720-2467
Phone
(706) 270-5100
NPI assigned
Aug 17, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW006539 GA Primary

Addresses

Primary practice location

900 Shugart Rd
Dalton, GA 30720-2467

Mailing address

105 Avalon Dr
Calhoun, GA 30701-9434
Phone (706) 859-2079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002001452 GA Practitioner - Clinical Social Worker 0749531739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Jane SolutionsGroup PAC ID 3577934538, 2 clinicians

Practice addresses (Care Compare)

306 N Thornton Ave
Dalton, GA 30720-3259
Phone (706) 310-5172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW006539GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Jane Solutions Clinical CurrentSince Apr 5, 2023 Accepting new patients
Highland Rivers CSB CurrentSince Aug 16, 2018 Accepting new patients
Highland Rivers Community Service Board CurrentSince Aug 16, 2018 Accepting new patients

Locations

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

306 N Thornton Ave
Dalton, GA 30720
Phone (706) 310-5172

900 Shugart Rd
Ste A
Dalton, GA 30720
Phone (706) 270-5005

900 Shugart Rd
Ste B
Dalton, GA 30720
Phone (706) 270-5027

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1629558879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AVALON DR",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307019434",
            "telephone_number": "706-859-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SHUGART RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202467",
            "telephone_number": "706-270-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "SEASON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.