Individual provider · Type 1 NPI
Tasha L. Fortenberry, LCSW
Clinical Social Worker · Lawrenceville, GA
Practice location
1828 Summer Ridge Ln
Lawrenceville, GA 30044-3956
Mailing address
1201 W Peachtree St NW Ste 2625
Atlanta, GA 30309-3499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW008661 (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 1750986170
Tasha L. Fortenberry, LCSW's National Provider Identifier is 1750986170, issued on Dec 2, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 22, 2024.