Individual provider · Type 1 NPI

Ebone Coakley, LCSW

Clinical Social Worker · Lawrenceville, GA

NPI number 1992174817 Active

Practice location

1840 Old Norcross Rd, Suite 200
Lawrenceville, GA 30044-8803

Call (770) 355-6073 Map

Fax (770) 913-8027

Mailing address

519 Harmonyview Ct
Loganville, GA 30052-6233

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW004856 (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 1992174817

Ebone Coakley, LCSW's National Provider Identifier is 1992174817, issued on Sep 22, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lawrenceville, GA. The record was last updated on Aug 31, 2016.