Individual provider · Type 1 NPI

Bevonna Trail, LCSW

Clinical Social Worker · Johns Creek, GA

NPI number 1730694498 Active

Practice location

6470 E Johns Xing
Johns Creek, GA 30097-2511

Mailing address

6470 East Johns Crossing, Pmb 920146
Peachtree Corners, GA 30097

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLICSW1121247 (MA)
Clinical Social Worker 1041C0700X096547 (NY)
Clinical Social Worker 1041C0700X44SC06460800 (NJ)
Clinical Social Worker Primary 1041C0700XCSW008493 (GA)
Clinical Social Worker 1041C0700X0904017730 (VA)

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 1730694498

Bevonna Trail, LCSW's National Provider Identifier is 1730694498, issued on Dec 4, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johns Creek, GA. The record was last updated on Jun 26, 2026.