Individual provider · Type 1 NPI

Amanda Davenport, L.C.S.W.

Clinical Social Worker · Lagrange, GA

NPI number 1922547181 Active

Practice location

102 Main St, Suite 217
Lagrange, GA 30240-3225

Fax (706) 243-4939

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW005606 (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 1922547181

Amanda Davenport, L.C.S.W.'s National Provider Identifier is 1922547181, issued on Feb 20, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lagrange, GA. The record was last updated on Feb 20, 2017.