Individual provider · Type 1 NPI

Jacob Donovan Lishnoff

Clinical Social Worker · Atlanta, GA

NPI number 1821945833 Active

Practice location

659 Auburn Ave NE
Atlanta, GA 30312-5412

Call (404) 829-4629 Map

Mailing address

426 Highland Lake Cir
Decatur, GA 30033-3444

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1821945833

Jacob Donovan Lishnoff's National Provider Identifier is 1821945833, issued on Mar 11, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Atlanta, GA. The record was last updated on Mar 11, 2026.