Healthcare Provider Details

I. General information

NPI: 1740634831
Provider Name (Legal Business Name): EMILY HRABOVSKY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 N DRUID HILLS RD NE
ATLANTA GA
30329-3117
US

IV. Provider business mailing address

3673 MANHATTAN DR
DECATUR GA
30034-6109
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-7574
  • Fax:
Mailing address:
  • Phone: 404-839-7970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMSW006371
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW006439
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: