Amanda Grace Garner-Patrick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW001782 Issued in GA

Practice address

977A Taylor St SW
Conyers, GA 30012-5357

Phone

(770) 918-6677

NPI assigned

Mar 18, 2011

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)

Enrolled

State licenses

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1790084697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LITTLE BROOK DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944000",
            "telephone_number": "770-860-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977A TAYLOR ST SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300125357",
            "telephone_number": "770-918-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER-PATRICK",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ganka
• Kesner Ganthier
• Cheryl Anita Garcia, RN
• Jason Ross Gardner, D.C.
• Cathy Garey, LCSW
• Brittney Je'Nise Garrett, AGACNP-BC, RN
• Veronica E Garrett, M.D.
• Jackson L Gates, M.D.
• Gayla Dillard MD PC
• Rose Gayle-Smith, N.P.

• Clinical Social Worker in Conyers, GA
• Providers in Conyers, 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 Mar 18, 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.