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CROSSROADS CHURCH OF DOUGLASVILLE
NPI 1265838544
Social Worker - Clinical in Douglasville, GA

Active since November 13, 2014
5960 STEWART PKWY, DOUGLASVILLE, GA 30135(404) 996-0170 Get Directions Write a Review

NPPES record last updated: November 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crossroads Church Of Douglasville NPPES

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

CROSSROADS CHURCH OF DOUGLASVILLE (NPI 1265838544) is a healthcare organization registered as a clinical in Douglasville, Georgia and active in the NPI registry since November 2014. The organization lists Justin Mckinney, Director Of Counseling, as its authorized official.

NPPES Registry Identity

NPI1265838544
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCROSSROADS CHURCH OF DOUGLASVILLE
Location Address5960 STEWART PKWYDouglasville, GA 30135-2372
Mailing Address5960 Stewart PkwyDouglasville, GA 30135-2372 · (404) 996-0170
Phone(404) 996-0170
Organization SubpartNo
Authorized OfficialJustin MckinneyDirector Of Counseling · (404) 996-0170
Enumeration DateNovember 13, 2014
✔ NPI 1265838544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW005316
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 · License LPC003962 (GA)
5960 STEWART PKWY, Douglasville, GA 30135
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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.

MRS. KRISTY L MYCROFT LPC
Counselor (Professional)
5960 STEWART PKWY
DOUGLASVILLE, GA 30135
Douglas County (404) 877-2190
THE SERENITY CENTER, INC.
Community/Behavioral Health
5960 STEWART PKWY
DOUGLASVILLE, GA 30135
Douglas County (404) 247-0344

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 Crossroads Church Of Douglasville's NPI number?

The NPI number for Crossroads Church Of Douglasville is 1265838544. It was assigned to this organization in the NPPES registry on November 13, 2014.

Where is Crossroads Church Of Douglasville located?

Crossroads Church Of Douglasville is located at 5960 Stewart Pkwy, Douglasville, GA 30135. The listed phone number is (404) 996-0170.

What is Crossroads Church Of Douglasville'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 Crossroads Church Of Douglasville was last updated on November 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.