Healthcare Provider Details

I. General information

NPI: 1124964408
Provider Name (Legal Business Name): HAILEY LAMKIN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3615 HUTCHINSON RD STE 102
CUMMING GA
30040-0500
US

IV. Provider business mailing address

8630 ETOWAH BLUFFS RD
BALL GROUND GA
30107-5310
US

V. Phone/Fax

Practice location:
  • Phone: 888-850-4891
  • Fax:
Mailing address:
  • Phone: 320-212-2625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW009873
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: