Teresa Louise Bishop, LCSW
Individual provider Active NPI Clinical Social Worker · Calhoun, GA
NPI 1760158802 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1760158802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW007530 (GA)
- Practice address
- 197 Curtis Pkwy NE
Calhoun, GA 30701-2063 - Phone
- (706) 602-9546
- Fax
- (706) 602-0765
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221025002105 | GA | Practitioner - Clinical Social Worker | 6305212887 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW007530 | GA | Yes |
Addresses
Primary practice location
197 Curtis Pkwy NE
Calhoun, GA 30701-2063
Mailing address
197 Curtis Pkwy NE
Calhoun, GA 30701-2063
Phone (706) 602-9546
Other providers in Calhoun, GA
- Kevin Andrew Benton
- Carl Billian
- Bio-Medical Applications of Georgia, Inc.
- Bio-Medical Applications of Georgia, Inc.
- Joseph A Bishop
- Michael Martin Blackmon
- Terrilyn Lamb Blackstock
- John L Bledsoe
- Logan Blevins
- Lois Rebecca Blockley
All providers in Calhoun, 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 Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.