SANDRA PETRAKIS-CHILDS L.C.S.W., L.M.F.T.
NPI 1518013473
Social Worker - Clinical in Chamblee, GA

Active since January 25, 2007Opted out of Medicare · through Apr 1, 2027
3990 CLAIRMONT RD, CHAMBLEE, GA 30341(770) 458-8909 Get Directions Write a Review

NPPES record last updated: June 28, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sandra Petrakis-childs L.c.s.w., L.m.f.t. NPPES

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

SANDRA PETRAKIS-CHILDS L.C.S.W., L.M.F.T. (NPI 1518013473) is an individual clinical provider in Chamblee, Georgia, licensed in Georgia (536) and active in the NPI registry since January 2007. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1518013473
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA PETRAKIS-CHILDSCredential: L.C.S.W., L.M.F.T.
Location Address3990 CLAIRMONT RDChamblee, GA 30341-4938
Mailing Address3990 Clairmont RdChamblee, GA 30341-4938 · (770) 458-8909
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJune 28, 2010
NPI 1518013473 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 · 536
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 ListedMarriage & Family TherapistTaxonomy 106H00000X · License 337 (GA)
3990 CLAIRMONT RD, Chamblee, GA 30341

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Sandra Petrakis-childs L.c.s.w., L.m.f.t. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Counselor (Professional)
3990 CLAIRMONT RD
CHAMBLEE, GA 30341
Counselor (Professional)
3990 CLAIRMONT RD
ATLANTA, GA 30341
Counselor (Professional)
3990 CLAIRMONT RD
CHAMBLEE, GA 30341
Counselor (Mental Health)
3990 CLAIRMONT RD
ATLANTA, GA 30341
Counselor (Mental Health)
3990 CLAIRMONT RD
CHAMBLEE, GA 30341
Social Worker (Clinical)
3990 CLAIRMONT RD
CHAMBLEE, GA 30341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518013473, enumerated as an "individual" on January 25, 2007.

The provider is located at 3990 CLAIRMONT RD CHAMBLEE, GA 30341 and the phone number is (770) 458-8909.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.