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JEHOVAH JIREH ENTERPRISES LLC NPI 1962540989


NPI Information

NPI: 1962540989
Provider Name: JEHOVAH JIREH ENTERPRISES, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
5534 OLD NATIONAL HIGHWAY
SUITE 150E
COLLEGE PARK, GA
ZIP 30349
Phone: (404) 993-1146
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JEHOVAH JIREH ENTERPRISES, LLC is a clinical social worker in College Park, 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. JEHOVAH JIREH ENTERPRISES, LLC NPI is 1962540989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5534 OLD NATIONAL HIGHWAY
SUITE 150E
COLLEGE PARK, GA
ZIP 30349
Phone: (404) 993-1146
Fax: (678) 799-7651

The provider's authorized official is Jacqueline Sweezer .
The authorized official title is Owner Ceo and has the following contact phone number (404) 993-1146.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 6/6/2008.


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 WorkerClinicalCSW002826GEORGIAYes

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
1000900809AMEDICAIDGEORGIA
2000900809BMEDICAIDGEORGIA
380BBFMHMEDICARE ID-TYPE UNSPECIFIEDGEORGIALICENSED CLINICAL SOCIAL

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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