Tatjana Estep Raycroft, LCSW, MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003760 Issued in GA

Practice address

234 Central Hospital Rd BLDG 329
Fort Eisenhower, GA 30905-6003

Phone

(706) 787-5392

NPI assigned

Oct 15, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1568797173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CENTRAL HOSPITAL RD BLDG 329",
            "city": "FORT EISENHOWER",
            "state": "GA",
            "postal_code": "309056003",
            "telephone_number": "706-787-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CENTRAL HOSPITAL RD BLDG 329",
            "city": "FORT EISENHOWER",
            "state": "GA",
            "postal_code": "309056003",
            "telephone_number": "706-787-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYCROFT",
        "first_name": "TATJANA",
        "middle_name": "ESTEP",
        "credential": "LCSW, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003760",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "507545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Phelps, M.D.
• Elizabeth Ann Pugh, RN
• Gregory Jesus Ramirez, DMD
• Rebekah Randall
• Philip Rask
• Meghan Reese
• James Aaron Resch, PHD
• Juan Antonio Rodriguez Jr.
• Gregory Ruddy
• Destiny Patrice Samuels

• Clinical Social Worker in Fort Eisenhower, GA
• Providers in Fort Eisenhower, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.