Individual provider · Type 1 NPI

Shantayia Neal Provost, LCSW

Clinical Social Worker · Douglasville, GA

NPI number 1689350084 Active

Practice location

4595 Flat Willow Pl
Douglasville, GA 30135-8646

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X184759-3102 (UT)

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 1689350084

Shantayia Neal Provost, LCSW's National Provider Identifier is 1689350084, issued on Jun 22, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Douglasville, GA. The record was last updated on Jun 22, 2023.