Individual provider · Type 1 NPI

Kimley Maienza

Clinical Social Worker · Atlanta, GA

NPI number 1760562706 Active

Practice location

1827 Powers Ferry Rd SE, Bldg 24, Suite 300
Atlanta, GA 30339-5621

Call (770) 818-0070 Map

Fax (770) 818-0068

Mailing address

1080 River Plantation Dr
Woodstock, GA 30188-2387

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X000740 (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 1760562706

Kimley Maienza's National Provider Identifier is 1760562706, issued on Oct 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.