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Deactivated NPI 1831324664 Deactivated / Inactive NPI Male Practitioner

Quinten G Gresham , LCSW

Social Worker - Clinical • Stone Mountain, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Quinten Gresham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2009
NPI Deactivation Date February 20, 2025
Total Practice Duration ~16 Years of Practice (2009 – 2025)

Professional Overview & Biography Verified Profile Summary

Quinten Gresham, LCSW was a registered Social Worker - Clinical practicing in Stone Mountain, GA. Throughout an active medical career spanning 16 years, Quinten Gresham provided care at the practice location at 5044 GOLFBROOK DR until profile deactivation on 2025-02-20.

Practice Location & Contact Primary Location

Practice Address

5044 Golfbrook Dr

Stone Mountain, GA 300882810

Telephone 7704697297
Fax 7704131534

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Stone Mountain, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Stone Mountain, GA (5053 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License GA CSW001114

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 20, 2025

Record deactivated on February 20, 2025

NPI Profile Active May 22, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 22, 2009

Registered at 5044 GOLFBROOK DR, STONE MOUNTAIN, GA 300882810 (Tel: 7704697297)

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Updated Business Mailing Address May 22, 2009

Registered at 5044 GOLFBROOK DR, STONE MOUNTAIN, GA 300882810 (Tel: 7704697297)

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Provider Name / Credentials Updated May 22, 2009

Recorded as QUINTEN GRESHAM, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2009

Social Worker (License #CSW001114 in GA)

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Initial NPI Registration & Enumeration May 22, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831324664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2009
Last Update: May 22, 2009
Deactivation Date: February 20, 2025

Mailing Address

5044 Golfbrook Dr

Stone Mountain, GA 300882810

Phone: 7704697297

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.