Search › Georgia › Clinical Social Worker
Shantayia Neal Provost, LCSW
NPI 1689350084 · on the registry since 2023
Practice
- Address
- 4595 Flat Willow Pl
Douglasville, GA 30135 - Phone
- (404) 548-5761
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia