Individual provider · Type 1 NPI

Raven Eboni Jenerson, LICSW

Clinical Social Worker · Alpharetta, GA

NPI number 1972187573 Active

Practice location

3480 Preston Ridge Rd Ste 500
Alpharetta, GA 30005-5460

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X0904015007 (VA)
Clinical Social Worker Primary 1041C0700XLC50082869 (DC)

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 1972187573

Raven Eboni Jenerson, LICSW's National Provider Identifier is 1972187573, issued on May 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Alpharetta, GA. The record was last updated on Jun 1, 2023.