Evelyn Aurelia Lavizzo, LCSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002130 Issued in GA

Practice address

667 Fairburn Rd NW
Atlanta, GA 30331-1423

Phone

(404) 691-5187

NPI assigned

Mar 13, 2021

Last updated

Mar 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1609451467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 FAIRBURN RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303311423",
            "telephone_number": "404-691-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 FAIRBURN RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303311423",
            "telephone_number": "404-691-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIZZO",
        "first_name": "EVELYN",
        "middle_name": "AURELIA",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kateline Lavache, NP-C
• William C Lavely, MD
• Lavender Grove Psychotherapy
• Zachary John Lavigne, D.C.
• Lavista Family Medicine
• Joseph W Lavori, D.O.
• Christine May-Lin Law, M.D.
• David Pe-Aung Law, M.D.
• Karen Lee-Lin Law
• Reno K Law, PHARM.D.

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, 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 Mar 13, 2021; 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.