Individual provider · Type 1 NPI

Tere Tyner Canzoneri, M.DIV., MSW, LCSW

Clinical Social Worker · Atlanta, GA

NPI number 1679603815 Active

Practice location

1790 Lavista Rd NE
Atlanta, GA 30329-3604

Call (404) 664-6254 Map

Mailing address

136 Geneva St
Decatur, GA 30030-1843

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1202 (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 1679603815

Tere Tyner Canzoneri, M.DIV., MSW, LCSW's National Provider Identifier is 1679603815, issued on Mar 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.