DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEVONNA TRAIL, LCSW

Active

BEVONNA TRAIL, LCSW is a Clinical Social Worker healthcare provider located in PEACHTREE CORNERS, Georgia. NPI 1730694498 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PEACHTREE CORNERS, GA

Registration Details

NPI Number
1730694498
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2017 (8.6793101016723 yrs)
Last Updated
Apr 19, 2024
Licenses
096547 (NY)
CSW008493 (GA)

Practice Information

Address
3957 HOLCOMB BRIDGE RD
SUITE 201 PMB1065
PEACHTREE CORNERS, GA, 30092
Browse GA providers · Browse ZIP 30092
Phone
4705882692
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PEACHTREE CORNERS, GA

Name Credential NPI
TARA ANNE COPPOLA LCSW 1952409294
AMY E WHITAKER LCSW 1275773426
MRS. DAYAN CARLA BOOKMAN 1578872867
MR. OTIS CHANDLER LCSW 1215212642
HYUNSU SHIN 1477809101
KARES CLARKE 1437550910
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.