Individual provider · Type 1 NPI

Keryn Johnson Benasuly, LCSW

Clinical Social Worker · Lawrenceville, GA

NPI number 1649772872 Active

Practice location

2000 Riverside Pkwy Ste 107
Lawrenceville, GA 30043-5926

Call (678) 878-3215 Map

Fax (678) 878-3341

Mailing address

Bridgeway Hospice, 2000 Riverside Pkwy Suite 107
Lawrenceville, GA 30043

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW006320 (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 1649772872

Keryn Johnson Benasuly, LCSW's National Provider Identifier is 1649772872, issued on Mar 4, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lawrenceville, GA. The record was last updated on Mar 4, 2018.