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

RAVEN EBONI JENERSON, LICSW

Active

RAVEN EBONI JENERSON, LICSW is a Clinical Social Worker healthcare provider located in ALPHARETTA, Georgia. NPI 1972187573 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ALPHARETTA, GA

Registration Details

NPI Number
1972187573
Provider Type
Individual
Gender
Female
NPI Issued
May 10, 2021 (5.2206416177835 yrs)
Last Updated
Jun 1, 2023
Licenses
0904015007 (VA)
LC50082869 (DC)

Practice Information

Address
3480 PRESTON RIDGE RD STE 500
ALPHARETTA, GA, 300055460
Browse GA providers · Browse ZIP 30005
Phone
4049696116
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in ALPHARETTA, GA

Name Credential NPI
MS. CLAUDIA DEMME PLUTA MSW 1255319257
MICHELLE GERSHON LCSW 1366413577
MR. JEFFREY SCOT FRY LCSW 1891701850
MRS. JUDITH ELLEN FISHER LCSW 1154423176
MRS. ELEANOR GAYE STEVENS MSW 1073613253
DEBBIE GRANOVSKY LCSW 1033277405
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.