Individual provider · Type 1 NPI

Pejman Mahdavi, LCSW

Clinical Social Worker · Lawrenceville, GA

NPI number 1831494962 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Fax (678) 212-6343

Mailing address

1443 Hartman Dr SW
Lilburn, GA 30047-2438

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW005171 (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 1831494962

Pejman Mahdavi, LCSW's National Provider Identifier is 1831494962, issued on Jan 20, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 14, 2019.