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SOUTHERN OAKS COUNSELING LLC NPI 1861878126


NPI Information

NPI: 1861878126
Provider Name: SOUTHERN OAKS COUNSELING, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
2128 CIRCULAR DR
AUGUSTA, GA
ZIP 30906
Phone: (706) 312-6761
Get Directions

SOUTHERN OAKS COUNSELING, LLC is a clinical social worker in Augusta, GA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SOUTHERN OAKS COUNSELING, LLC NPI is 1861878126. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2128 CIRCULAR DR
AUGUSTA, GA
ZIP 30906-808
Phone: (706) 312-6761

The provider's authorized official is Tasha Andrea Pritchett .
The authorized official title is Owner/partner and has the following contact phone number (253) 988-7536.

The enumeration date for this NPI number is 8/9/2015 and was last updated on 12/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical11376SOUTH CAROLINANo
21041C0700XSocial WorkerClinicalCSW005535GEORGIANo
31041C0700XSocial WorkerClinicalCSW005614GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003163121AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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