Individual provider · Type 1 NPI

Raven Shonice Traylor, LCSW

Clinical Social Worker · Lilburn, GA

NPI number 1467919068 Active

Practice location

1016 Mandalay Ct SW
Lilburn, GA 30047-4225

Other practice locations

  • 806 N 31st St Ste D, Monroe, LA 71201-3900 · (318) 855-3868

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW009366 (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 1467919068

Raven Shonice Traylor, LCSW's National Provider Identifier is 1467919068, issued on Mar 1, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lilburn, GA. The record was last updated on Jun 18, 2025.