Individual provider · Type 1 NPI

Ellyn Catrina Davis

Clinical Social Worker · Pine Lake, GA

NPI number 1134071210 Active

Practice location

498 Spring Drive
Pine Lake, GA 30072-1231

Mailing address

PO Box 1231
Pine Lake, GA 30072-1231

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW005695 (GA)

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 1134071210

Ellyn Catrina Davis's National Provider Identifier is 1134071210, issued on Feb 11, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pine Lake, GA. The record was last updated on Feb 11, 2026.