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THE SOLDIER THERAPIST
NPI 1780348458
Social Worker - Clinical in Lawrenceville, GA

Active since October 28, 2021
1760 LAKES PKWY UNIT 4416, LAWRENCEVILLE, GA 30043(678) 805-7181 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2022, Feb 17, 2022, Feb 8, 2022 (3 updates tracked since 2022).

About The Soldier Therapist NPPES

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

THE SOLDIER THERAPIST (NPI 1780348458) is a healthcare organization registered as a clinical in Lawrenceville, Georgia and active in the NPI registry since October 2021. The organization lists Raymond Edwin Jeanes, Owner, as its authorized official.

NPPES Registry Identity

NPI1780348458
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOLDIER THERAPIST
Location Address1760 LAKES PKWY UNIT 4416Lawrenceville, GA 30043-6194
Mailing Address1760 Lakes Pkwy Unit 4416Lawrenceville, GA 30043-6194 · (678) 805-7181
Phone(678) 805-7181
Organization SubpartNo
Authorized OfficialRaymond Edwin JeanesOwner · (678) 805-7181
Enumeration DateOctober 28, 2021
Last NPPES UpdateFebruary 28, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2022
✔ NPI 1780348458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1760 LAKES PKWY UNIT 4416, Lawrenceville, GA 30043
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Other Names 1

Doing Business AsThe Soldier Therapist

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

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

NATALI NELSON
Social Worker (Clinical)
1760 LAKES PKWY UNIT 4416
LAWRENCEVILLE, GA 30043
Gwinnett County (413) 427-3627

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 Soldier Therapist's NPI number?

The NPI number for Soldier Therapist is 1780348458. It was assigned to this organization in the NPPES registry on October 28, 2021. The provider is doing business as The Soldier Therapist.

Where is Soldier Therapist located?

Soldier Therapist is located at 1760 Lakes Pkwy Unit 4416, Lawrenceville, GA 30043. The listed phone number is (678) 805-7181.

What is Soldier Therapist'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 Soldier Therapist was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.