OrganizationActive
Crossroads Church of Douglasville
NPI 1265838544 · Clinical Social Worker · Douglasville, GA
Provider details
- NPI number
- 1265838544
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Justin Mckinney, Director of Counseling(404) 996-0170
- License
- LPC003962 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5960 Stewart Pkwy
Douglasville, GA 30135-2372
Phone: (404) 996-0170
Street-level locationGet directions
Mailing address
5960 Stewart Pkwy
Douglasville, GA 30135-2372
Registry dates
- Enumerated
- 2014-11-13
- Last updated
- 2014-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.