Healthcare Provider Details

I. General information

NPI: 1831666874
Provider Name (Legal Business Name): ARI MAZER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 PERIMETER CENTER NORTH SUITE 200
ATLANTA GA
30346
US

IV. Provider business mailing address

211 PERIMETER CENTER NORTH SUITE 200
ATLANTA GA
30346
US

V. Phone/Fax

Practice location:
  • Phone: 404-905-9832
  • Fax:
Mailing address:
  • Phone: 404-905-9832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW006540
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: