Merrisa Cooley-Kight

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW011331 Issued in GA

Practice address

205 Lakeshore PT
Saint Marys, GA 31558-3843

Phone

(912) 436-3279

NPI assigned

Aug 9, 2020

Last updated

May 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Merrisa Strickler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1902416407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LAKESHORE PT",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583843",
            "telephone_number": "912-436-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LAKESHORE PT",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583843",
            "telephone_number": "912-436-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY-KIGHT",
        "first_name": "MERRISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW011331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERRISA",
            "last_name": "STRICKLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.