P Praxis·MD
● Active Type 2 · Organization

Revere Counseling And Care Management Llc

Social Worker·Decatur, GA· NPI 1114429412 · Enumerated 2018 · 8 years on NPI
Revere Counseling And Care Management Llc is 1 of 2137 social worker organizations in Georgia.
NPI age
8 years
Enumerated 2018-03-02
Primary specialty
Social Worker
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roach
Owner
Last NPPES update
2022-07-19
Source: monthly bulk 2026-05

How this organization compares

Across 2137 active social worker providers in Georgia.

NPI age
8 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-03Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
235 E Ponce De Leon Ave Ste 330
Decatur, GA 300303452
📞 4042815422
Mailing address
235 E Ponce De Leon Ave Ste 330
Decatur, GA 300303452
📞 4042815422fax 4043770750

Authorized official

Stephanie Lynn Roach, LCSW
Owner
📞 4047363793

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Social Worker Primary
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    GA license #CSW002619 taxonomy 104100000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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