Charlotte Austin, LCSW
Individual provider Active NPI Clinical Social Worker · Thomasville, GA
NPI 1366836868 · NPPES record last updated Mar 23, 2015
Key facts
- NPI
- 1366836868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW004771 (GA)
- Practice address
- 1102 Smith Ave
Thomasville, GA 31792-5739 - Phone
- (229) 225-5208
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW10844 | FL | MD | Clinical Social Worker |
| CSW004771 | GA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004771 | GA | Yes |
| Clinical Social Worker | 1041C0700X | SW10844 | FL |
Addresses
Primary practice location
1102 Smith Ave
Thomasville, GA 31792-5739
Mailing address
1102 Smith Ave
Thomasville, GA 31792-5739
Phone (229) 225-5208
Other providers in Thomasville, GA
- Meagan Caridad Arrastia-Chisholm
- Yoheved Arzi
- Assured Loving Care
- Atlemisia Anderson
- Kellie Attaway
- Daniel James Badger
- Sarah Baggett
- Grover L. Bailey
- Michael Scott Bailey
- Benjamin Barroga Bailon
All providers in Thomasville, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.