Individual provider · Type 1 NPI
Timothy James Whailen, LCSW
Clinical Social Worker · Hiram, GA
Practice location
107 Enterprise Path Ste 301
Hiram, GA 30141-2690
Fax (706) 237-6503
Mailing address
9085 Clark Rd
Fairburn, GA 30213-1929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW007682 (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…
Another provider at this address
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About NPI 1609445097
Timothy James Whailen, LCSW's National Provider Identifier is 1609445097, issued on Jun 21, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hiram, GA. The record was last updated on Jul 27, 2021.