COMMUNITY PSYCHOTHERAPY AND ADDICTION COUNSELING, LLC – Clinical Social Worker, NPI 1508304932
Clinical Social Worker
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COMMUNITY PSYCHOTHERAPY AND ADDICTION COUNSELING, LLC
305 Smithville Church Rd Ste 300
Warner Robins, GA 310883183
Phone: (478) 971-6840
Fax: (229) 299-0993
Type: Location
211 Ashley St E
Suite 105
Douglas, GA 315335306
Phone: (912) 348-5583
Fax: (912) 384-2729
Type: Location
341 Margie Dr Ste 3A
Warner Robins, GA 31088
Phone: (478) 832-9442
Fax: (229) 299-0993
Type: Location
401 OBRIEN DR
KATHLEEN, GA 310475351
Phone: (478) 832-9442
Fax: (229) 299-0993
Type: Mailing
Margie Drive, Deerfield, Warner Robins, Houston County, Georgia, 31028, United States
WARNER ROBINS, GA 31088
Phone: (478) 832-9442
Fax: (229) 299-0993
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-05-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (646 days ago).
Enrollment records
1
Earliest due date
2024-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20170508000687 | O | Clinic/Group Practice | GA | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31088)
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