Individual provider · Type 1 NPI

Michelle R. Henriques, PhD, LCSW, LCDC

Clinical Social Worker · Fort Moore, GA

NPI number 1730420340 Active

Practice location

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102

Call (404) 644-1225 Map

Mailing address

71 Portico Pl
Newnan, GA 30265-5944

Other practice locations

  • 71 Portico Pl, Newnan, GA 30265-5944 · (404) 644-1225

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X11588 (TX)
Clinical Social Worker 1041C0700XSW23402 (FL)
Clinical Social Worker Primary 1041C0700X55290 (TX)

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 1730420340

Michelle R. Henriques, PhD, LCSW, LCDC's National Provider Identifier is 1730420340, issued on Mar 6, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Moore, GA. The record was last updated on Jan 23, 2025.