Individual provider · Type 1 NPI

Myron Russell Proctor, CADC, LMSW

Social Worker · La Fayette, GA

NPI number 1245875962 Active

Practice location

201 N Main St
La Fayette, GA 30728-2419

Mailing address

121 Lazy Oak Trl
Ringgold, GA 30736-5573

Other practice locations

  • 6120 Alabama Hwy, Ringgold, GA 30736-2804 · (706) 935-6442

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0527 (GA)
Social Worker Primary 104100000XMSW011227 (GA)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1245875962

Myron Russell Proctor, CADC, LMSW's National Provider Identifier is 1245875962, issued on Nov 18, 2019. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in La Fayette, GA. The record was last updated on Aug 21, 2023.