Individual provider · Type 1 NPI

Daeisha Fowler, MSW

Clinical Social Worker · Atlanta, GA

NPI number 1104488451 Active

Practice location

810 Joseph E Boone Blvd NW
Atlanta, GA 30314-3339

Mailing address

1017 Fayetteville Rd SE
Atlanta, GA 30316-2932

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1104488451

Daeisha Fowler, MSW's National Provider Identifier is 1104488451, issued on Jul 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Atlanta, GA. The record was last updated on Jul 7, 2019.