Provider Demographics
NPI:1699361428
Name:JONES, KATIE MORAITAKIS (LCSW)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:MORAITAKIS
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:MORAITAKIS
Other - Last Name:BEEBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:192 TIMMS LOOP SE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-4533
Mailing Address - Country:US
Mailing Address - Phone:678-956-2678
Mailing Address - Fax:
Practice Address - Street 1:189 PROFESSIONAL CT SE STE 105
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-7051
Practice Address - Country:US
Practice Address - Phone:678-956-2678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW008011104100000X
GACSW0076741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker