Healthcare Provider Details

I. General information

NPI: 1699653139
Provider Name (Legal Business Name): ENGELA GERTRUIDA HEPWORTH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

P.O.BOX 301, 5710 OGEECHEE RD #200
SAVANNAH GA
31405
US

IV. Provider business mailing address

P.O.BOX 301, 5710 OGEECHEE RD #200
SAVANNAH GA
31405
US

V. Phone/Fax

Practice location:
  • Phone: 234-303-9785
  • Fax:
Mailing address:
  • Phone: 234-303-9785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW009786
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: