MEDICARE: DEVON HOWARD LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	MSW012752	GA

General Provider Information

NPI Number	:	1104762400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVON HOWARD LMSW

Provider Business Mailing Address
First Line	:	650 PONCE DE LEON AVE NE STE 300-1306
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-1804
Country	:	US
Telephone Number	:	770-609-9765
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 PONCE DE LEON AVE NE STE 300-1306
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-1804
Country	:	US
Telephone Number	:	770-609-9765
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “ DEVON HOWARD LMSW” Practice Location

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