Individual provider · Type 1 NPI

Janis C. Raynor, LCSW

Clinical Social Worker · Fort Gordon, GA

NPI number 1003974445 Active

Practice location

300 W Hospital Rd, Ddeamc
Fort Gordon, GA 30905-5741

Call (706) 787-9186 Map

Fax (706) 787-3562

Mailing address

300 W Hospital Rd # 13A-10, Ddeamc
Fort Gordon, GA 30905-5741

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X38409 (TX)

Clinical Social Worker: 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 interpers…

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About NPI 1003974445

Janis C. Raynor, LCSW's National Provider Identifier is 1003974445, issued on Dec 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Gordon, GA. The record was last updated on Oct 16, 2013.