Individual provider · Type 1 NPI

Maddison Capri Meijome, LICSW

Clinical Social Worker · Kennesaw, GA

NPI number 1649953704 Active

Practice location

1824 Canoe Rdg NW
Kennesaw, GA 30152-6209

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X14262362-3501 (UT)
Clinical Social Worker Primary 1041C0700XLW61519644 (WA)

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 1649953704

Maddison Capri Meijome, LICSW's National Provider Identifier is 1649953704, issued on Aug 7, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kennesaw, GA. The record was last updated on Aug 11, 2026.