Individual provider · Type 1 NPI

Gwendolyn Denise Coley

Clinical Social Worker · Fort Valley, GA

NPI number 1063869600 Active

Practice location

1809 River Rd
Fort Valley, GA 31030-7029

Mailing address

PO Box 891
Fort Valley, GA 31030-0891

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW007060 (GA)
Clinical Social Worker 1041C0700XSW25343 (FL)
Clinical Social Worker 1041C0700X4951C (AL)

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…

2 other providers at this address

About NPI 1063869600

Gwendolyn Denise Coley's National Provider Identifier is 1063869600, issued on May 24, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Valley, GA. The record was last updated on Sep 11, 2026.