Individual provider · Type 1 NPI

Danielle Nicole Mysore, LCSW

Clinical Social Worker · Atlanta, GA

NPI number 1447836622 Active

Practice location

1030 Fayetteville Rd SE
Atlanta, GA 30316-2921

Call (757) 268-8081 Map

Mailing address

1541 Pangborn Station Dr
Decatur, GA 30033-1845

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 1447836622

Danielle Nicole Mysore, LCSW's National Provider Identifier is 1447836622, issued on Mar 19, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Atlanta, GA. The record was last updated on Aug 11, 2026.