Individual provider · Type 1 NPI

Ayesha Aqueelah Thomas, LCSW

Clinical Social Worker · Leesburg, GA

NPI number 1760054902 Active

Practice location

148 Belmont Dr
Leesburg, GA 31763

Mailing address

137B Commerce Ave Ste 262
Lagrange, GA 30241-2337

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW007458 (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 1760054902

Ayesha Aqueelah Thomas, LCSW's National Provider Identifier is 1760054902, issued on Jul 16, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Leesburg, GA. The record was last updated on Jul 8, 2025.