Mrs Kirsten Tamara Shoemaker, BSW is a
Counselor - Addiction (substance Use Disorder) based in Chatsworth, Georgia. Mrs Kirsten Tamara Shoemaker is licensed to practice in Georgia (license number ) and her current practice location is
1289 Gi Maddox Pkwy, Chatsworth, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 971-3366.
NPI number for Mrs Kirsten Tamara Shoemaker is 1609534312 and her current mailing address is 419 Fullers Chapel Rd Unit A, Chatsworth, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609534312.
Healthcare Provider's Profile
| Full Name | Mrs Kirsten Tamara Shoemaker |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 1289 Gi Maddox Pkwy, Chatsworth, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609534312
- Provider Enumeration Date: 11/30/2021
- Last Update Date: 11/30/2021
Medical Identifiers
Medical identifiers for Mrs Kirsten Tamara Shoemaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609534312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (Georgia) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kirsten Tamara Shoemaker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kirsten Tamara Shoemaker, BSW
419 Fullers Chapel Rd Unit A,
Chatsworth, GA 30705-7452
Ph: (706) 508-5707 | Mrs Kirsten Tamara Shoemaker, BSW
1289 Gi Maddox Pkwy,
Chatsworth, GA 30705-2069
Ph: (706) 971-3366 |
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