Individual provider · Type 1 NPI

Makoto Ikegami, DSW, MSW, LCSW

Clinical Social Worker · Decatur, GA

NPI number 1932473113 Active

Practice location

1901 Rosewood Rd
Decatur, GA 30032-7017

Call (470) 763-5282 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCW017519 (PA)
Clinical Social Worker 1041C0700XSW14355 (FL)
Clinical Social Worker Primary 1041C0700XCSW006447 (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 1932473113

Makoto Ikegami, DSW, MSW, LCSW's National Provider Identifier is 1932473113, issued on Mar 6, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Decatur, GA. The record was last updated on Jan 9, 2024.