Healthcare Provider Details

I. General information

NPI: 1255888525
Provider Name (Legal Business Name): DRAWANERT ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2016
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 KENTUCKY ST
SCOTTDALE GA
30079-1124
US

IV. Provider business mailing address

610 KENTUCKY ST
SCOTTDALE GA
30079-1124
US

V. Phone/Fax

Practice location:
  • Phone: 213-423-3765
  • Fax:
Mailing address:
  • Phone: 213-423-3765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: SADAQA WARD
Title or Position: LCSW
Credential:
Phone: 213-423-3765