| Ivy Delorse Dey-johnson, MSW, LCSW | |
| 
					1670 Clairmont Rd, Decatur, GA 30033-4004  | |
| (404) 321-6111 | |
| Not Available | 
| Full Name | Ivy Delorse Dey-johnson | 
|---|---|
| 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 | 
|---|---|
| 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  |