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General NPI Number Information
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NPI Number | 1982078267
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Entity Type | Individual
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Provider Name | JAMIE MAHAFFEY L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 1263 MORELAND AVE SE
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City | ATLANTA
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State | GA
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Zip | 30316-3183
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Country | US
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Telephone | 470-444-3137
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Fax | 470-202-3003
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Provider Business Mailing Address
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Address Line | PO BOX 740015
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City | ATLANTA
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State | GA
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Zip | 30374-0015
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Country | US
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Telephone | 312-733-9730
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW005507
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 731701
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License Number State | GA
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