Individual provider · Type 1 NPI

Creystal Demi Fagbohun, LCSW

Clinical Social Worker · Marietta, GA

NPI number 1689408031 Active

Practice location

3126 Rich Rd
Marietta, GA 30066-3802

Call (770) 903-2150 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW007521 (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 1689408031

Creystal Demi Fagbohun, LCSW's National Provider Identifier is 1689408031, issued on Aug 28, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marietta, GA. The record was last updated on Aug 28, 2024.