Ivy Delorse Dey-johnson, MSW, LCSW | |
1670 Clairmont Rd, Decatur, GA 30033-4004 | |
(404) 321-6111 | |
Not Available |
Full Name | Ivy Delorse Dey-johnson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1670 Clairmont Rd, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194051490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW008440 (Georgia) | Secondary |
1041C0700X | Social Worker - Clinical | C006457 (North Carolina) | Primary |
Entity Name | Mental Health Specialty Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20230619001228 |
Mailing Address | Practice Location Address |
---|---|
Ivy Delorse Dey-johnson, MSW, LCSW 127 Hutchinson Rd, Lagrange, GA 30241-8278 Ph: (336) 549-3889 | Ivy Delorse Dey-johnson, MSW, LCSW 1670 Clairmont Rd, Decatur, GA 30033-4004 Ph: (404) 321-6111 |
Mr. Clifton Hatcherson Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Winn Way, 5247 Running Doe Drive, Decatur, GA 30030 Phone: 404-289-8445 Fax: 404-298-8288 | |
Mrs. Julia Narciss Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Trinity Pl, Decatur, GA 30030 Phone: 404-378-2300 Fax: 404-378-2394 | |
Natasha Vayner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Trinity Pl, Decatur, GA 30030 Phone: 404-210-0569 | |
Stephanie Castillo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Trinity Pl, Decatur, GA 30030 Phone: 404-378-2300 | |
Pearla Duncan Wall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2784 N Decatur Rd, Ste 145, Decatur, GA 30033 Phone: 404-292-2664 Fax: 404-292-2835 | |
Mrs. Susan Mccarthy Strickland, PHD, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 S Columbia Dr, Decatur, GA 30030 Phone: 770-601-4086 | |
Quintele Stanback-garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Social Worker Purple Clinic, Decatur, GA 30033 Phone: 404-321-6111 |