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THE PEACH PIT
NPI 1023511789
Social Worker - Clinical in Fort Valley, GA

Active since March 08, 2018
1809 RIVER RD, FORT VALLEY, GA 31030(478) 827-3224 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 29, 2021, Feb 23, 2021, Mar 8, 2018 (3 updates tracked since 2018).

About The Peach Pit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE PEACH PIT (NPI 1023511789) is a healthcare organization registered as a clinical in Fort Valley, Georgia and active in the NPI registry since March 2018. The organization lists Gwendolyn Coley, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1023511789
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHE PEACH PIT
Location Address1809 RIVER RDFort Valley, GA 31030-7029
Mailing AddressPo Box 891Fort Valley, GA 31030-0891 · (478) 827-3224 · Fax (478) 827-3224
Phone(478) 827-3224
Organization SubpartNo
Authorized OfficialGwendolyn ColeyClinical Director · (478) 827-3224
Enumeration DateMarch 8, 2018
Last NPPES UpdateMarch 29, 20213 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1023511789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedSpecialistTaxonomy 174400000X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
1809 RIVER RD, Fort Valley, GA 31030
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWENDOLYN DENISE MCLEOD
Social Worker (Clinical)
1809 RIVER RD
FORT VALLEY, GA 31030
Peach County (478) 827-3224
KENNETH M BLEICHER
Counselor (Mental Health)
1809 RIVER RD
FORT VALLEY, GA 31030
Peach County (478) 827-3224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Peach Pit's NPI number?

The NPI number for The Peach Pit is 1023511789. It was assigned to this organization in the NPPES registry on March 8, 2018.

Where is The Peach Pit located?

The Peach Pit is located at 1809 River Rd, Fort Valley, GA 31030. The listed phone number is (478) 827-3224.

What is The Peach Pit's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for The Peach Pit was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.