Fana George, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

267 Langley Dr # 1096
Lawrenceville, GA 30046-6907

Phone

(770) 624-6572

NPI assigned

Jun 2, 2020

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crossroads Therapy, LLC

  • Clinical Social Worker
  • Loganville, GA
  • NPI 1528643939
  NPD

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1649894965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 LANGLEY DR # 1096",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466907",
            "telephone_number": "770-624-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 LANGLEY DR # 1096",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466907",
            "telephone_number": "770-624-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "FANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lovern Gentry, M.ED.,CCC-SLP
• Genuine Joy Counseling
• Geode Health of Georgia LLC
• Biny Sam George, APRN
• Dave George, PA
• Jemimah Miriam George, CRNA
• Lynn Mariam George
• Swopna Bobby George
• Teresa Kizhakethalakal George, M.D.
• Allison Georgescu, RPH

• Clinical Social Worker in Lawrenceville, GA
• Providers in Lawrenceville, 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 Jan 26, 2023; 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.