Organization · Type 2 NPI

Mindrise, LLC

Clinical Social Worker · Mcdonough, GA

NPI number 1255091815 Active

Practice location

1220 Pennsylvania Ave
Mcdonough, GA 30253-8999

Mailing address

1415 Highway 85 N Ste 310-446
Fayetteville, GA 30214-7738

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 1255091815

Mindrise, LLC's National Provider Identifier is 1255091815, issued on Dec 23, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mcdonough, GA. The record was last updated on Feb 23, 2026.