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Crossroads Church of Douglasville

NPI 1265838544ActiveOrganization· Social Worker, Clinical· Douglasville, GA

Social Worker, Clinical in Douglasville, Georgia, registered in NPPES in November 2014. The authorized official on file is Justin McKinney, L.C.S.W., Director Of Counseling.

Overview

NPI1265838544
StatusActive
Entity typeOrganization
NPI issuedNov 13, 2014
Last updated in NPPESNov 13, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700XCSW005316GA
Counselor, Professional101YP2500XLPC003962GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other clinical social workers in Douglasville

All 63 clinical social workers in Douglasville · All clinical social workers in Georgia