Healthcare Provider Details

I. General information

NPI: 1942403142
Provider Name (Legal Business Name): VICTORIA EPP LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VICKI EPP LCSW

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4871 COUNTRY COVE WAY
POWDER SPRINGS GA
30127-3890
US

IV. Provider business mailing address

4871 COUNTRY COVE WAY
POWDER SPRINGS GA
30127-3890
US

V. Phone/Fax

Practice location:
  • Phone: 678-310-9846
  • Fax:
Mailing address:
  • Phone: 678-310-9846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5409
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: