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MR. CARLTON D HAGGARD LCSW NPI 1083617351


NPI Information

NPI: 1083617351
Provider Name: MR. CARLTON D HAGGARD, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
4015 S COBB DR SE
STE 4
SMYRNA, GA
ZIP 30080
Phone: (770) 435-2931
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MR. Carlton D Haggard, LCSW is a clinical social worker in Smyrna, GA with 37 years of experience. 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. MR. Carlton D Haggard, LCSW NPI is 1083617351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4015 S COBB DR SE
STE 4
SMYRNA, GA
ZIP 30080-315
Phone: (770) 435-2931
Fax: (770) 435-2942

The NPI 1083617351 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 60 minutes (HCPCS:90837)

The enumeration date for this NPI number is 5/31/2005 and was last updated on 7/9/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalCSW001456GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
162-04486OTHERGEORGIAUNITED BEHAVIORAL HEALTH
2843297OTHERGEORGIAFIRST HEALTH
3087343OTHERGEORGIAGREAT WEST
4087343OTHERGEORGIAVALUE OPTIONS
5196693OTHERGEORGIACOMPSYCH
6300033702AMEDICAIDGEORGIA
7085079OTHERGEORGIAMANAGED HEALTH NETWORK
880BBDQXMEDICARE ID-TYPE UNSPECIFIEDGEORGIAPROVIDER NUMBER
9388692OTHERGEORGIAAMERIHEALTH ADMINISTRATOR
1052426630-003OTHERGEORGIABLUE CROSS BLUE SHIELD
11S10829MEDICARE UPINGEORGIA
12087343OTHERGEORGIAONE HEALTH PLAN
13000697331CMEDICAIDGEORGIA
141015098OTHERGEORGIACIGNA BEHAVIORAL HEALTH
15PVPB63279OTHERGEORGIAAMERICAN PSYCH SYSTEMS
16148495000OTHERGEORGIAMAGELLAN
17178135OTHERGEORGIAMENTAL HEALTH NETWORK
18298302OTHERGEORGIACCN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.