Individual provider · Type 1 NPI
Ebony Niblack
Clinical Social Worker · Kennesaw, GA
Practice location
2369 Whispering Dr NW
Kennesaw, GA 30144-5678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW009791 (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 1861373169
Ebony Niblack's National Provider Identifier is 1861373169, issued on Sep 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kennesaw, GA. The record was last updated on Nov 18, 2025.